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Organization

MED MANAGEMENT INDIANA PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARK NEESE JR. (CFO)
(210) 615-3434
Entity
Organization

Contact information

Practice address
5300 MARYMOUNT VILLAGE DR, GARFIELD HEIGHTS, OH 44125-2974
(888) 365-6271
Mailing address
7272 WURZBACH RD STE 601, SAN ANTONIO, TX 78240-4803
(210) 615-3483

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01076161A
LICENSE
IN
Enumeration date
08/27/2018
Last updated
07/08/2026
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