Mid County Medical Group PA

NPI #1568470136 in Port Arthur, Texas

Provider Information

NPI Number: 1568470136
Entity Type: Organization
Organization Name: Mid County Medical Group PA
Primary Specialty: Internal Medicine
Enumeration Date: Aug 3, 2006
Last Updated: Jul 22, 2024

Practice Location

Address: 2501 JIMMY JOHNSON BLVD STE 110A
City: Port Arthur
State: Texas
ZIP Code: 77640-2000
Phone: (409) 344-4466

Authorized Official

Name: MICHAEL L MCMAHON, M.D.
Title: PRACTICE OWNER
Phone: (409) 344-4466

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner - Family — Family	363LF0000X
Internal Medicine	207R00000X	Primary

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