Mlmd Pa is a Specialist based in Killeen, TX. Mlmd Pa practices in Killeen, TX. The NPI Number for Mlmd Pa is 1750540811 and holds a License No. L3544 (Texas).
The current practice location address for Mlmd Pa is 2111 S Clear Creek Rd, Killeen, TX and can be reached out via phone at 254-519-2229 and via fax at 254-519-2231.
Location: 2111 S Clear Creek Rd, Killeen, TX, 76540-0938
Provider Profile Details
NPI Number
1750540811
Provider Name
Mlmd Pa
Credential
Provider Entity Type
Organization
Address
2111 S Clear Creek Rd, Killeen, TX, 76540-0938
Phone Number
254-519-2229
Fax Number
254-519-2231
Provider Enumeration Date
06/04/2008
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 196049401 | 05 | TX |
Provider Business Practice Location Address Details
Address
2111 S Clear Creek Rd
City
State
Zip
76549-4110
Phone Number
254-519-2229
Fax Number
254-519-2231
Provider Business Mailing Address Details
Address
2111 S Clear Creek Rd
City
State
Zip
76549-4110
Phone Number
254-519-2229
Fax Number
254-519-2231
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
L3544 (Texas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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