Mlmd PA

NPI #1750540811 in Killeen, Texas

Provider Information

NPI Number: 1750540811
Entity Type: Organization
Organization Name: Mlmd PA
Primary Specialty: Specialist
Enumeration Date: Jun 4, 2008
Last Updated: Dec 31, 2008

Practice Location

Address: 2111 S CLEAR CREEK RD
City: Killeen
State: Texas
ZIP Code: 76549-4110
Phone: (254) 519-2229

Authorized Official

Name: MARK L LOBAUGH, MD
Title: OWNER
Phone: (254) 519-2229

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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