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Organization

SUDAN MEDICAL CLINIC, LLC

Active
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Organization

SUDAN MEDICAL CLINIC, LLC

Active
Other names
Sudan Medical Clinic - Muleshoe Location
Organization subpart
No

Provider details

NPI number
Authorized official
LISA M ALLEN (OWNER)
(806) 227-2292
Entity
Organization

Contact information

Practice address
208 W 2ND ST, MULESHOE, TX 79347-3631
(806) 272-7736
(806) 272-7737
Mailing address
PO BOX 119, SUDAN, TX 79371-0119

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
261QR1300X
Rural Health Clinic/Center
Primary

Other

Enumeration date
09/22/2020
Last updated
03/06/2023
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