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NPI Code Detail

MEDICARE: D&C MEDICAL ASSOCIATES

MEDICARE: D&C MEDICAL ASSOCIATES
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 PhysicianLL6742TX

General Provider Information

NPI Number : 1508096553
Entity Type Code : Organization
Provider Name (Legal Business Name) : D&C MEDICAL ASSOCIATES
Provider Business Mailing Address
First Line : PO BOX 362
Second Line :
City : PALESTINE
State : TX
Zip : 75802-0362
Country : US
Telephone Number : 903-723-7178
Fax Number : 903-723-8252
Provider Business Practice Location Address
First Line : 1100 LOOP 3048 EAST
Second Line : SUITE 200
City : CROCKETT
State : TX
Zip : 75835
Country : US
Telephone Number : 903-723-7178
Fax Number : 903-723-8252
Authorized Official
Title or Position : PRESIDENT
Name : DR. CRAIG M MCMULLEN
Credential : MD
Telephone Number : 903-723-7178
Provider Enumeration Date : 07/23/2009
Last Update Date : 07/23/2009

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Directions to “D&C MEDICAL ASSOCIATES ” Practice Location

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