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Organization
MDLIVE MEDICAL GROUP TX PLLC
Active
Organization
MDLIVE MEDICAL GROUP TX PLLC
Active
Parent organization
MDLIVE MEDICAL GROUP TX PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MDLIVE MEDICAL GROUP TX PLLC
Authorized official
SUE-ANN ADRIANS (GP PM)
(800) 400-6354
Entity
Organization
Contact information
Practice address
900 COTTAGE GROVE RD, BLOOMFIELD, CT 06002-2920
(800) 400-6354
Mailing address
PO BOX 5006, HARTFORD, CT 06102-5006
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
NULL
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
11/04/2022
Last updated
04/10/2026
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