Mexia Principal Healthcare Limited Partnership

NPI #1780249078 in Streetman, Texas

Provider Information

NPI Number: 1780249078
Entity Type: Organization
Organization Name: Mexia Principal Healthcare Limited Partnership
Primary Specialty: Family Medicine
Enumeration Date: May 2, 2019
Last Updated: May 2, 2019

Practice Location

Address: 203 NORTH HOUSTON ST
City: Streetman
State: Texas
ZIP Code: 75859-8094
Phone: (903) 599-1707

Authorized Official

Name: SHARLEE LEBLEU
Title: SR. DIRECTOR PROVIDER ENROLLMENT
Phone: (615) 920-7000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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