Med Pavilion PC

NPI #1871643007 in Mineral Wells, Texas

Provider Information

NPI Number: 1871643007
Entity Type: Organization
Organization Name: Med Pavilion PC
Primary Specialty: Internal Medicine
Enumeration Date: Jan 11, 2007
Last Updated: Mar 28, 2017

Practice Location

Address: 220A SW 26TH AVE
City: Mineral Wells
State: Texas
ZIP Code: 76067
Phone: (940) 325-1543

Authorized Official

Name: MRS. MARISELLA NAVARRETE
Title: RECEPTIONIT
Phone: (940) 325-1543

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X
Internal Medicine	207R00000X	Primary

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