Organization · Type 2 NPI

Sudan Medical Clinic, LLC

Rural Health Clinic/Center · Muleshoe, TX

NPI number 1225644537 Active

Practice location

208 W 2nd St
Muleshoe, TX 79347-3631

Call (806) 272-7736 Map

Fax (806) 272-7737

Mailing address

PO Box 119
Sudan, TX 79371-0119

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	None listed
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

2 other providers at this address

Regence Health Network IncFederally Qualified Health Center (FQHC) Muleshoe, TX NPI 1205834744
Linda Nadene Bullock, FNPNurse Practitioner Muleshoe, TX NPI 1619975604

Other rural health clinic/center providers in Muleshoe

See all in Muleshoe →

NPI record

NPI: 1225644537
Entity type: Organization (Type 2)
Issued: Sep 22, 2020
Last updated: Mar 6, 2023
Status: Active

Other names

<unavail>
Sudan Medical Clinic - Muleshoe Location · doing business as
Sudan Medical Clinic - Muleshoe Location · doing business as

Authorized official

Lisa M Allen
Owner
(806) 227-2292

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1225644537

Sudan Medical Clinic, LLC's National Provider Identifier is 1225644537, issued on Sep 22, 2020. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Muleshoe, TX. The record was last updated on Mar 6, 2023.