Organization
MISSION HOSPITAL INC
Active
Other names
Mission Regional Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
LESTER EDWARD SURROCK CPA (CFO)
(956) 323-9106
Entity
Organization
Contact information
Practice address
900 S BRYAN RD, MISSION, TX 78572-6613
(956) 323-1457
Mailing address
PO BOX 1547, SEDALIA, MO 65302-1547
(660) 826-5960
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C57N
BCBS PIN
TX
05
—
126673601
—
TX
Enumeration date
08/17/2006
Last updated
02/09/2024
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