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Organization
MEDICAL AND SURGICAL ASSOCIATES OF CORSICANA
Active
Organization
MEDICAL AND SURGICAL ASSOCIATES OF CORSICANA
Active
Parent organization
MEDICAL AND SURGICAL ASSOCIATES OF CORSICANA
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDICAL AND SURGICAL ASSOCIATES OF CORSICANA
Authorized official
MR. RONNIE L RAGSDALE (ADMINISTATOR)
(903) 872-3005
Entity
Organization
Contact information
Practice address
505 N HIGHWAY 77, SUITE 200, WAXAHACHIE, TX 75165-1128
(972) 923-1686
(972) 937-7731
Mailing address
401 HOSPITAL DR, SUITE 120, CORSICANA, TX 75110-2415
(903) 872-3005
(903) 872-3050
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
E2721
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00Y226
MEDICARE GROUP PTAN
TX
05
—
189750601
—
TX
01
—
1922298199
GROUP NPI
TX
Enumeration date
05/18/2010
Last updated
03/07/2012
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