Provider Demographics
NPI:1366842726
Name:MEDICAL DIRECTORS OF TEXAS. LLC
Entity Type:Organization
Organization Name:MEDICAL DIRECTORS OF TEXAS. LLC
Other - Org Name:MD'S OF TEXAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARCELLA
Authorized Official - Middle Name:M
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-277-0300
Mailing Address - Street 1:PO BOX 950
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77497-0950
Mailing Address - Country:US
Mailing Address - Phone:281-277-0300
Mailing Address - Fax:281-817-5904
Practice Address - Street 1:3727 GREENBRIAR DR STE 115
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-3929
Practice Address - Country:US
Practice Address - Phone:281-277-0300
Practice Address - Fax:281-817-5904
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BERTRAM TURNER INCOPORATED
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-09-03
Last Update Date:2014-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM1664261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty