| Mda Diversified Enterprises Corp | |
|
23527 Fm 1314 Rd Ste E Porter TX 77365-3724 | |
| (281) 381-6190 | |
| Not Available |
| Full Name | Mda Diversified Enterprises Corp |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 23527 Fm 1314 Rd Ste E, Porter, Texas |
| Authorized Official Name and Position | Betty Brown (CREDENTIAL/BILLER) |
| Authorized Official Contact | 2815561298 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mda Diversified Enterprises Corp 21013 Old Sorters Rd Ste E Porter TX 77365-7083 Ph: (281) 381-6190 | Mda Diversified Enterprises Corp 23527 Fm 1314 Rd Ste E Porter TX 77365-3724 Ph: (281) 381-6190 |
| NPI Number | 1598347890 |
|---|---|
| Provider Enumeration Date | 04/26/2021 |
| Last Update Date | 04/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598347890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Primary |
Porter Medical Center Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 24540 Fm 1314 Rd, Porter, TX 77365 Phone: 832-326-8032 Fax: 281-354-8815 | |
Diverse Community Healthcare Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 21898 Fm 1314 Rd Ste B, Porter, TX 77365 Phone: 281-354-2417 Fax: 281-786-0267 | |
Unity Hospitalist Group Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 21693 Fm 1314 Rd Ste 400, Porter, TX 77365 Phone: 281-354-2417 Fax: 281-786-0267 | |
Myway Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20711 Lavone Dr, Porter, TX 77365 Phone: 512-956-9929 |