# MIDLAND VISITING DOCTORS MANAGEMENT LLC

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

## Provider details

- **NPI number:** 1851934434
- **Authorized official:** SHIBU JOSEPH (MANAGING MEMBER)
- **Authorized official phone:** (972) 415-9856

## Contact information

- **Practice address:** 17330 PRESTON RD STE 170A, DALLAS, TX 75252-5796
- **Practice address phone:** (972) 415-9856
- **Mailing address:** 17330 PRESTON RD STE 170A, DALLAS, TX 75252-5796
- **Mailing address phone:** (469) 242-3826
- **Mailing address fax:** (469) 242-3827

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/25/2019
- **Last updated:** 12/06/2023