Matagorda Family Practice, Pllc

LBN: Matagorda Family Practice, Pllc
Matagorda Family Practice, Pllc is an health care organization with primary practice located at 2205 Avenue K , Bay City TX 77414-5128. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Matagorda Family Practice, Pllc can be contacted via phone (979) 323-9752, or through Dada, Mohammed via phone (979) 323-9752.

Contact Information

Primary practice address
2205 Avenue K Bay City TX 77414-5128
Phone: (979) 323-9752
Fax: (979) 323-9757
Website:
Map and Directions
Authorized official contact:
Name: Dada, Mohammed Doctor of Medicine (MD)
Phone: (979) 323-9752

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1962825703
LBN Legal business name Matagorda Family Practice, Pllc
DBA Doing business as
Authorized official Dada, Mohammed Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2014
Last updated Feb 1st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962825703 NPPES
Texas MEDICAID 361644301

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