Organization
MLD SURGICAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE L DODSON RN,BSN,CNOR,RNFA (OWNER)
(936) 537-1563
Entity
Organization
Contact information
Practice address
12959 BRUCE RD, WILLIS, TX 77318-6608
(936) 537-1563
Mailing address
12959 BRUCE RD, WILLIS, TX 77318-6608
(936) 537-1563
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
630605
TX
Other
Enumeration date
04/22/2015
Last updated
04/22/2015
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