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
2203 W LAMPASAS ST, SUITE 222, ENNIS, TX 75119-5644
(903) 872-3005
(903) 875-7210
Mailing address
401 HOSPITAL DR, SUITE 120, CORSICANA, TX 75110-2415
(903) 872-3005
(903) 872-3050
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
G3521
TX
208600000X
Surgery Physician
Primary
N2930
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00Y226
MEDICARE GROUP PTAN
TX
05
—
189750601
—
TX
01
—
1922298199
GROUP NPI
TX
Enumeration date
12/06/2010
Last updated
03/07/2012
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