Mlmd Pa

LBN: Mlmd Pa
Mlmd Pa is an health care organization with primary practice located at 2111 S Clear Creek Rd , Killeen TX 76549-4110. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Mlmd Pa can be contacted via phone (254) 519-2229, or through Lobaugh, Mark L via phone (254) 519-2229.

Contact Information

Primary practice address
2111 S Clear Creek Rd Killeen TX 76549-4110
Phone: (254) 519-2229
Fax: (254) 519-2231
Website:
Map and Directions
Authorized official contact:
Name: Lobaugh, Mark L Doctor of Medicine (MD)
Phone: (254) 519-2229

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X L3544 Texas

Profile Details

NPI number 1750540811
LBN Legal business name Mlmd Pa
DBA Doing business as
Authorized official Lobaugh, Mark L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 2008
Last updated Dec 31st, 2008 - about 18 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 1750540811 NPPES
Texas MEDICAID 196049401

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