# IMA MEDICAL HOME TEAM LLC

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

## Provider details

- **NPI number:** 1881002996
- **Authorized official:** MILTON D HOBBS M.D. (PRESIDENT)
- **Authorized official phone:** (662) 234-0332

## Contact information

- **Practice address:** 551 AZALEA DR, OXFORD, MS 38655-7900
- **Practice address phone:** (662) 234-0332
- **Mailing address:** 1515 HERITAGE DRIVE, SUITE 110, MCKINNEY, TX 75069-3379
- **Mailing address phone:** (855) 860-2109

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 07454 | MS | Yes |
| 207R00000X | Internal Medicine Physician | 13540 | MS | — |
| 207R00000X | Internal Medicine Physician | 13892 | MS | — |

## Other

- **Enumeration date:** 08/01/2014
- **Last updated:** 01/02/2015