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Sudan Medical Clinic, Llc
Physician Assistant in Sudan, Texas
NPI 1215942073

Sudan Medical Clinic, Llc is a Physician Assistant based in Sudan, TX. Sudan Medical Clinic, Llc practices in Sudan, TX. The NPI Number for Sudan Medical Clinic, Llc is 1215942073 and holds a License No. H4531 (Texas).

The current practice location address for Sudan Medical Clinic, Llc is 408 E Us Hwy 84, Sudan, TX and can be reached out via phone at 806-227-2292 and via fax at 806-227-2293.

Location: 408 E Us Hwy 84, Sudan, TX, 79371-0119
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215942073
Provider Name
Sudan Medical Clinic, Llc
Credential
Provider Entity Type
Organization
Address
408 E Us Hwy 84, Sudan, TX, 79371-0119
Phone Number
806-227-2292
Fax Number
806-227-2293
Provider Enumeration Date
07/30/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
118927111 01 TX FIRST CARE
00963Z 01 MEDICARE
137527 01 TX SUPERIOR HEALTH PLAN
178241901 05 TX
178241902 05 TX
0074NH 01 TX BLUE CROSS BLUE SHIELD
673950 01 TX MEDICARE
673951 01 TX MEDICARE
5594300001 01 TX PALMETTO GBA
institution
Provider Business Practice Location Address Details
Address
408 E Us Hwy 84
City
Sudan
State
Texas
Zip
79371
Phone Number
806-227-2292
Fax Number
806-227-2293
person
Provider Business Mailing Address Details
Address
408 E Us Hwy 84
City
Sudan
State
Texas
Zip
79371
Phone Number
806-227-2292
Fax Number
806-227-2293
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
PA02006 (Texas)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
261QR1300X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
H4531 (Texas)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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