Organization
HAISULI MEDICAL CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIA MATHEWSON MD (MD ANESTHESIOLOGIST)
(717) 891-0351
Entity
Organization
Contact information
Practice address
1910 N BIG SPRING ST STE 100, MIDLAND, TX 79705-8883
(432) 699-0952
Mailing address
PO BOX 4157, MIDLAND, TX 79704-4157
(432) 699-0952
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
09/29/2020
Last updated
09/29/2020
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