| Mddrip LLC | |
|
21853 Lost Mdw New Caney TX 77357-4737 | |
| (832) 583-7264 | |
| Not Available |
| Full Name | Mddrip LLC |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 21853 Lost Mdw, New Caney, Texas |
| Authorized Official Name and Position | Ayesha Mccoy (OWNER) |
| Authorized Official Contact | 8325837264 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mddrip LLC 21853 Lost Mdw New Caney TX 77357-4737 Ph: (832) 583-7264 | Mddrip LLC 21853 Lost Mdw New Caney TX 77357-4737 Ph: (832) 583-7264 |
| NPI Number | 1346816972 |
|---|---|
| Provider Enumeration Date | 06/03/2021 |
| Last Update Date | 08/05/2021 |
| Certification Date | 08/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346816972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
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