1215942073 SUDAN MEDICAL CLINIC, LLC
Physician Assistant
Active
Basic Information
- Organization Name
- SUDAN MEDICAL CLINIC, LLC
- Enumeration Date
- July 30, 2006
- Last Update
- April 12, 2021
- Authorized Official
- DR. MARK LEE MCCLANAHAN D.O.
PRESIDENT/PHYSICIAN
Phone: (806) 227-2292
Practice Location
- Address
- 408 E US HWY 84
SUDAN, TX 79371 - Phone
- (806) 227-2292
- Fax
- (806) 227-2293
Mailing Address
- Address
- PO BOX 119
SUDAN, TX 793710119 - Phone
- (806) 227-2292
- Fax
- (806) 227-2293
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Rural Health Clinic/Center Rural Health | 261QR1300X | Clinic/Center | N/A | N/A | No |
| Family Medicine Physician | 207Q00000X | Family Medicine | H4531 | TX | No |
| Physician Assistant | 363A00000X | Physician Assistant | PA02006 | TX | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 118927111 | 01 | TX | FIRST CARE |
| 00963Z | 01 | N/A | MEDICARE |
| 137527 | 01 | TX | SUPERIOR HEALTH PLAN |
| 178241901 | 05 | TX | N/A |
| 178241902 | 05 | TX | N/A |
| 0074NH | 01 | TX | BLUE CROSS BLUE SHIELD |
| 673950 | 01 | TX | MEDICARE |
| 673951 | 01 | TX | MEDICARE |
| 5594300001 | 01 | TX | PALMETTO GBA |
Frequently Asked Questions
What is SUDAN MEDICAL CLINIC, LLC's NPI number?
SUDAN MEDICAL CLINIC, LLC's NPI number is 1215942073.
Which doctor has NPI number 1215942073?
The doctor with NPI number 1215942073 is SUDAN MEDICAL CLINIC, LLC.
What is SUDAN MEDICAL CLINIC, LLC's practice address?
SUDAN MEDICAL CLINIC, LLC's practice address is 408 E US HWY 84, SUDAN, TX, 79371.
Which doctor practices at 408 E US HWY 84, SUDAN, TX, 79371?
SUDAN MEDICAL CLINIC, LLC practices at 408 E US HWY 84, SUDAN, TX, 79371.
What is SUDAN MEDICAL CLINIC, LLC's mailing address?
SUDAN MEDICAL CLINIC, LLC's mailing address is PO BOX 119, SUDAN, TX, 793710119.
What is SUDAN MEDICAL CLINIC, LLC's phone number?
SUDAN MEDICAL CLINIC, LLC's phone number is (806) 227-2292.
Who is (806) 227-2292?
(806) 227-2292 is the phone number for SUDAN MEDICAL CLINIC, LLC.
What is SUDAN MEDICAL CLINIC, LLC's specialty?
SUDAN MEDICAL CLINIC, LLC's specialty is Physician Assistant.
What type of doctor is SUDAN MEDICAL CLINIC, LLC?
SUDAN MEDICAL CLINIC, LLC is a Physician Assistant.
Is SUDAN MEDICAL CLINIC, LLC a Physician Assistant?
Yes, SUDAN MEDICAL CLINIC, LLC is a Physician Assistant.
Is SUDAN MEDICAL CLINIC, LLC still practicing?
Yes, SUDAN MEDICAL CLINIC, LLC is currently practicing.
Is SUDAN MEDICAL CLINIC, LLC accepting new patients?
SUDAN MEDICAL CLINIC, LLC may be accepting new patients. Please call their office at (806) 227-2292 to inquire about availability.
Is NPI 1215942073 still active?
Yes, NPI 1215942073 is currently active.
Where does SUDAN MEDICAL CLINIC, LLC practice?
SUDAN MEDICAL CLINIC, LLC practices in SUDAN, TX.