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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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