Organization
MEDICAL AND SURGICAL ASSOCIATES OF CORSICANA
Active
Parent organization
MEDICAL AND SURGICAL ASSOCIATES OF CORSICANA
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDICAL AND SURGICAL ASSOCIATES OF CORSICANA
Authorized official
MR. RONNIE L RAGSDALE (ADMINISTRATOR)
(903) 872-3005
Entity
Organization
Contact information
Practice address
219 WEST 6TH AVE, CORSICANA, TX 75110-4895
(903) 874-5866
(903) 874-5083
Mailing address
401 HOSPITAL DR, SUITE 120, CORSICANA, TX 75110-2415
(903) 872-3005
(903) 872-3050
Taxonomy
Speciality
Code
Description
License number
State
111NX0100X
Occupational Health Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00Y226
MEDICARE GROUP PTAN
TX
05
—
189750601
—
TX
01
—
1922298199
NPI
TX
Enumeration date
11/06/2008
Last updated
09/11/2012
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