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La Magna Health PLLC

Hospitalist in Wichita Falls, TX. Organization (NPI-2).

NPI number1699285346
StatusActive
Last updated in NPPESDec 12, 2022

Details

NPI
1699285346
Entity type
Organization (NPI-2)
Legal business name
La Magna Health PLLC
Organization subpart
No
Enumeration date
Oct 9, 2017
Certification date
Dec 12, 2022
Last updated
Dec 12, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208M00000X Hospitalist––Yes
261QM1300X Clinic/Center, Multi-Specialty––

Practice location

1631 11th St Unit B
Wichita Falls, TX 76301-4332

Phone 940-687-5000 · Fax 940-263-3018

Mailing address

1631 11th St Unit B
Wichita Falls, TX 76301-4332

Phone 940-687-5000 · Fax 940-263-3018

Other practice locations

1600 11th St
Wichita Falls, TX 76301-4300

Phone 940-764-7000

Authorized official

Andre Desire
Owner
9402633001

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