Provider Demographics
NPI:1699314369
Name:MEDICAL PROPERTIES, LLC
Entity type:Organization
Organization Name:MEDICAL PROPERTIES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:TRACE
Authorized Official - Middle Name:
Authorized Official - Last Name:GEORGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:325-701-9270
Mailing Address - Street 1:PO BOX 4077
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79608-4077
Mailing Address - Country:US
Mailing Address - Phone:325-701-9270
Mailing Address - Fax:325-701-9272
Practice Address - Street 1:710 S GREGG ST FL 1
Practice Address - Street 2:
Practice Address - City:BIG SPRING
Practice Address - State:TX
Practice Address - Zip Code:79720-2425
Practice Address - Country:US
Practice Address - Phone:325-701-9270
Practice Address - Fax:325-701-9272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-30
Last Update Date:2020-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care