Organization
SOUTHMED SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY MIDDLETON MD (OWNER)
(312) 399-7185
Entity
Organization
Contact information
Practice address
416 HIDEAWAY RD, MCKINNEY, TX 75072-3349
(972) 954-8346
Mailing address
4261 E UNIVERSITY DR STE 30, PROSPER, TX 75078-9152
(972) 954-8346
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
02/02/2023
Last updated
02/02/2023
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