Organization
MATHIS T. ADAMS M.D.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATHIS TAYLOR ADAMS M.D.,P.A. (PHYSICIAN)
(940) 325-7064
Entity
Organization
Contact information
Practice address
214 SW 26TH AVE STE A, MINERAL WELLS, TX 76067-8249
(940) 325-7064
Mailing address
214 SW 26TH AVE STE A, MINERAL WELLS, TX 76067-8249
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
L4842
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0034LN
BCBS
TX
Enumeration date
10/04/2007
Last updated
10/23/2007
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