Provider Demographics
NPI:1619738101
Name:CORRIGAN MEDICAL, LLC
Entity Type:Organization
Organization Name:CORRIGAN MEDICAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:R
Authorized Official - Last Name:BLEDSOE
Authorized Official - Suffix:
Authorized Official - Credentials:PA
Authorized Official - Phone:936-398-5555
Mailing Address - Street 1:207 W BEN FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:CORRIGAN
Mailing Address - State:TX
Mailing Address - Zip Code:75939-2042
Mailing Address - Country:US
Mailing Address - Phone:936-398-5555
Mailing Address - Fax:936-398-5559
Practice Address - Street 1:207 W BEN FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:CORRIGAN
Practice Address - State:TX
Practice Address - Zip Code:75939-2042
Practice Address - Country:US
Practice Address - Phone:936-398-5555
Practice Address - Fax:936-398-5559
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health