| NPI | 1003494576 |
|---|---|
| Doing Business As | MABEN MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | DEBBIE GALE HALLMARK Director Of Reimbursement 662-377-5186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2021-03-29 |
| Last Update Date | 2021-03-29 |