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Organization
MATAGORDA FAMILY PRACTICE, PLLC
Active
Organization
MATAGORDA FAMILY PRACTICE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMED DADA MD (OWNER)
(979) 323-9752
Entity
Organization
Contact information
Practice address
2205 AVENUE K, BAY CITY, TX 77414-5128
(979) 323-9752
(979) 323-9757
Mailing address
PO BOX 2660, BAY CITY, TX 77404-2660
(979) 323-9752
(979) 323-9757
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
361644301
—
TX
Enumeration date
01/30/2014
Last updated
02/01/2022
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