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Organization

WICHITA MEDICAL MANAGEMENT, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEVEN TRACE GEORGE (CHIEF OPERATING OFFICER)
(325) 701-9270
Entity
Organization

Contact information

Practice address
3701 FAIRWAY BLVD STE 114, WICHITA FALLS, TX 76310-1038
(325) 701-9270
Mailing address
PO BOX 6807, ABILENE, TX 79608-6807
(325) 701-9270
(325) 701-9272

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
09/26/2018
Last updated
08/15/2022
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