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Organization
MID LEVEL HEALTH PROVIDER SERVICES LLC
Active
Organization
MID LEVEL HEALTH PROVIDER SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA DODSON FNP (PRESIDENT)
(254) 640-9581
Entity
Organization
Contact information
Practice address
398 LCR 398 APT B, GROESBECK, TX 76642-2797
(254) 640-9581
Mailing address
398 LCR 398 APT B, GROESBECK, TX 76642-2797
(254) 640-9581
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
583313
TX
Other
Enumeration date
09/11/2012
Last updated
09/27/2012
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