# MID LEVEL HEALTH PROVIDER SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568712180
- **Authorized official:** BARBARA DODSON FNP (PRESIDENT)
- **Authorized official phone:** (254) 640-9581

## Contact information

- **Practice address:** 398 LCR 398 APT B, GROESBECK, TX 76642-2797
- **Practice address phone:** (254) 640-9581
- **Mailing address:** 398 LCR 398 APT B, GROESBECK, TX 76642-2797
- **Mailing address phone:** (254) 640-9581

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 583313 | TX | Yes |

## Other

- **Enumeration date:** 09/11/2012
- **Last updated:** 09/27/2012