Mlmd Pa in Killeen - Specialist

Mlmd Pa - NPI 1750540811

Mlmd Pa is a Specialist in Killeen, Texas. Mlmd Pa practices all healthcare services and medical treatments related to Specialist. The NPI Number for Mlmd Pa is 1750540811. The last update date is 2008-12-31.

Mlmd Pa's current location address is Po Box 938, Killeen, Texas. You can contact this provider via phone number 2546346999 and fax number 2542004099. The mailing address for Mlmd Pa is Po Box 938, Killeen, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Mlmd Pa
Address Po Box 938, Killeen, Texas
Phone Number 2546346999
Fax Number 2542004099
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Lobaugh L Mark
Credentials MD
Telephone Number 2545192229

NPI Number Detail

NPI Number 1750540811
Provider Enumeration Date 2008-06-04
Last Updated Date 2008-12-31

Provider Mailing Address Detail

Address Po Box 938
City Killeen
State Texas (TX)
Post Code 765400938
Phone Number 2546346999
Fax Number 2542004099

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No L3544
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
196049401 TX --

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FAQs about Mlmd Pa

What is the unique 10-digit identification code assigned to Mlmd Pa by the Centers for Medicare & Medicaid Services?

The Mlmd Pa has been issued the NPI (National Provider Identifier) 1750540811, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Mlmd Pa is physically located?

The Mlmd Pa is situated at the following address: Po Box 938, Killeen, TX 765400938.

What is the area of specialization for Mlmd Pa, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Mlmd Pa is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.

On what date did the Mlmd Pa receive the assignment of its 1750540811 from the Centers for Medicare & Medicaid Services?

The Mlmd Pa was issued its 1750540811 by the Centers for Medicare & Medicaid Services on 2008-06-04.

As of what date was the information regarding Mlmd Pa, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Mlmd Pa, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-12-31.

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