Medical and Surgical Associates of Corsicana

NPI #1417250960 in Ennis, Texas

Provider Information

NPI Number
1417250960
Entity Type
Organization
Organization Name
Medical and Surgical Associates of Corsicana
Subpart
Yes (part of a larger organization)
Parent Organization
MEDICAL AND SURGICAL ASSOCIATES OF CORSICANA
Primary Specialty
Surgery
Enumeration Date
Dec 6, 2010
Last Updated
Mar 7, 2012

Practice Location

Address
2203 W LAMPASAS ST
Address 2
SUITE 222
City
Ennis
State
Texas
ZIP Code
75119-5644
Phone
(903) 872-3005

Authorized Official

Name
MR. RONNIE L RAGSDALE
Title
ADMINISTRATOR
Phone
(903) 872-3005

Specialties & Taxonomy Codes

Specialty
Surgery

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