Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUDAN MEDICAL CLINIC, LLC
Active OrganizationSUDAN MEDICAL CLINIC, LLC is a Physician Assistant organization located in SUDAN, Texas. NPI 1215942073 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · SUDAN, TX
Registration Details
- NPI Number
- 1215942073
- Provider Type
- Organization
- NPI Issued
- Jul 30, 2006 (20.053344467213 yrs)
- Last Updated
- Apr 12, 2021
- Licenses
-
H4531 (TX)PA02006 (TX)
Practice Information
- Address
-
408 E US HWY 84SUDAN, TX, 79371Browse TX providers · Browse ZIP 79371
- Phone
- 8062272292
- Fax
- 8062272293
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Family Medicine
- Additional Specialty
- Physician Assistant
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.