Organization
MEDICAL ASSOCIATES FOR LTC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH KAY SANDERS RN,CS,GNP, ARNP (OWNER)
(903) 530-6745
Entity
Organization
Contact information
Practice address
437 HIDEAWAY LN E, HIDEAWAY, TX 75771-5213
(903) 530-6745
(903) 882-8134
Mailing address
437 HIDEAWAY LN E, HIDEAWAY, TX 75771-5213
(903) 530-6745
(903) 882-8134
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
244705
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178309401
—
TX
Enumeration date
10/01/2007
Last updated
05/09/2014
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