| NPI | 1053672535 |
|---|---|
| Doing Business As | MATAGORDA MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | JJ WEBB Administrator 806-776-0607 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| 208800000X Urology | |
| 261QR1300X Clinic/Center, Rural Health | |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2024-05-13 |