| Mathis Drive Inpatient Services PLLC | |
|
111 Highway 70 E Dickson TN 37055-2080 | |
| (469) 401-2386 | |
| (214) 712-2444 |
| Full Name | Mathis Drive Inpatient Services PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 111 Highway 70 E, Dickson, Tennessee |
| Authorized Official Name and Position | Kathleen Kondas (OFFICER) |
| Authorized Official Contact | 9732511132 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mathis Drive Inpatient Services PLLC 13737 Noel Rd Ste 1600 Dallas TX 75240-1331 | Mathis Drive Inpatient Services PLLC 111 Highway 70 E Dickson TN 37055-2080 Ph: (469) 401-2386 |
| NPI Number | 1659709178 |
|---|---|
| Provider Enumeration Date | 10/18/2013 |
| Last Update Date | 12/21/2020 |
| Certification Date | 12/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659709178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| 363A00000X | Physician Assistant | () | Secondary |
| 363L00000X | Nurse Practitioner | () | Secondary |
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