| Mainland Infectious Disease Associates, P.a. | |
|
1125 Highway 3 N Ste 100a Texas City TX 77591-4047 | |
| (409) 539-6278 | |
| (409) 419-1108 |
| Full Name | Mainland Infectious Disease Associates, P.a. |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 1125 Highway 3 N Ste 100a, Texas City, Texas |
| Authorized Official Name and Position | William Scott Warner (OWNER) |
| Authorized Official Contact | 4093701087 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mainland Infectious Disease Associates, P.a. Po Box 57579 Webster TX 77598-7579 Ph: (409) 370-1087 | Mainland Infectious Disease Associates, P.a. 1125 Highway 3 N Ste 100a Texas City TX 77591-4047 Ph: (409) 539-6278 |
| NPI Number | 1710165485 |
|---|---|
| Provider Enumeration Date | 02/05/2008 |
| Last Update Date | 11/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710165485 | NPI | - | NPPES |
| CH4054 | Other | TX | PALMETTO GBA |
| 209594501 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | J9932 (Texas) | Primary |
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