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NPI Code Detail

MEDICARE: MIDORI MEDICAL PC

MEDICARE: MIDORI MEDICAL PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1295674950
Entity Type Code : Organization
Provider Name (Legal Business Name) : MIDORI MEDICAL PC
Provider Business Mailing Address
First Line : 1117 DRUMMOND CIR
Second Line :
City : WACO
State : TX
Zip : 76712-5001
Country : US
Telephone Number : 254-447-9758
Fax Number :
Provider Business Practice Location Address
First Line : 1117 DRUMMOND CIR
Second Line :
City : WACO
State : TX
Zip : 76712-5001
Country : US
Telephone Number : 254-447-9758
Fax Number :
Authorized Official
Title or Position : MEDICAL DIRECTOR-POPULATION HEALTH
Name : DR. ADAM FLOWERS
Credential : MD
Telephone Number : 254-447-9758
Provider Enumeration Date : 03/27/2026
Last Update Date : 03/27/2026

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Directions to “MIDORI MEDICAL PC ” Practice Location

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