MEDICAL ASSOCIATES FOR LTC NPI 1841487212

NPI Information

NPI: 1841487212
Provider Name: MEDICAL ASSOCIATES FOR LTC
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Organization

Specialization: Gerontology

Address:
437 HIDEAWAY LN E
HIDEAWAY, TX
ZIP 75771
Phone: (903) 530-6745
Get Directions

MEDICAL ASSOCIATES FOR LTC is a gerontology nurse practitioner in Hideaway, TX. MEDICAL ASSOCIATES FOR LTC NPI is 1841487212. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

437 HIDEAWAY LN E
HIDEAWAY, TX
ZIP 75771-213
Phone: (903) 530-6745
Fax: (903) 882-8134

The provider's authorized official is Deborah Kay Sanders .
The authorized official title is Owner and has the following contact phone number (903) 530-6745.

The enumeration date for this NPI number is 10/1/2007 and was last updated on 5/9/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LG0600X	Nurse Practitioner	Gerontology	244705	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	178309401	MEDICAID	TEXAS
2	00394Z	MEDICARE PIN	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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