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Contact Information

MEDICAL SURGICAL & COMPCARE ENVIVA PLLC
219 W 6TH AVE
CORSICANA, TX75110-5243
 Phone: 903-874-5866
 Fax: 903-874-5083
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Health

111NX0100X 35 Chiropractic
 

Adult Health

363LA2200X 50 Nurse Practitioner
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Occupational Health

363LX0106X 50 Nurse Practitioner
 

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MEDICAL SURGICAL & COMPCARE ENVIVA PLLC

NPI Number 1295104008
LBN Legal business name MEDICAL SURGICAL & COMPCARE ENVIVA PLLC
Authorized official TERRY WILLIAMS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/22/2015
Last updated 09/22/2015 - About 11 years ago
Identifiers
TX License # 9221
TX License # AP116039
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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