MDA Diversified Enterprises Corp
MDA Diversified Enterprises Corp is a General Practice Physician in Porter, Texas. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 2
What do these letters mean?
- Corp — Corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
23527 Fm 1314 Rd Ste EPorter, TX 77365-3724
Phone: (281) 381-6190
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X |
|---|---|
| General Practice Physician | Taxonomy 208D00000X |
Record details
| NPI number | 1598347890 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Betty Brown — Credential/Biller · (281) 556-1298 |
| NPI enumerated | April 26, 2021 |
| Last updated in NPPES | April 26, 2021 |
| Certification date | April 26, 2021 |
| Mailing address | 21013 Old Sorters Rd Ste E, Porter, TX 77365-7083 |
Other providers in Porter
-
Myway Medical
20711 Lavone Dr, Porter, TX 77365-7603 · (512) 956-9929