Provider Demographics
NPI:1821268046
Name:MEDICAL ARTS HOSPITAL
Entity Type:Organization
Organization Name:MEDICAL ARTS HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MS
Authorized Official - First Name:LETHA
Authorized Official - Middle Name:
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-872-2183
Mailing Address - Street 1:1600 NORTH BRYAN AVENUE
Mailing Address - Street 2:
Mailing Address - City:LAMESA
Mailing Address - State:TX
Mailing Address - Zip Code:79331-3145
Mailing Address - Country:US
Mailing Address - Phone:806-872-2183
Mailing Address - Fax:806-872-7943
Practice Address - Street 1:1600 NORTH BRYAN AVENUE
Practice Address - Street 2:
Practice Address - City:LAMESA
Practice Address - State:TX
Practice Address - Zip Code:79331-3145
Practice Address - Country:US
Practice Address - Phone:806-872-2183
Practice Address - Fax:806-872-7943
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DAWSON COUNTY HOSPITAL DISTRICT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-03-04
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX207PE0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical ServicesGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00F56LMedicare PIN