Organization
MEDICAL DOCTOR ASSOC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JONI SCRIBNER (STAFFING CONSULTANT)
(800) 809-0436
Entity
Organization
Contact information
Practice address
1764 FARM ROAD 899, MT PLEASANT, TX 75455-9159
(903) 572-4817
Mailing address
PO BOX 1936, MT PLEASANT, TX 75456-1936
(903) 572-4817
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
D1041
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P000J1331
—
TX
Enumeration date
10/24/2006
Last updated
08/22/2020
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