MLD Surgical Associates LLC

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

630605 Issued in TX

Legal business name

MLD SURGICAL ASSOCIATES LLC

Practice address

12959 Bruce Rd
Willis, TX 77318-6608

Phone

(936) 537-1563

NPI assigned

Apr 22, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Melanie L Dodson, RN,BSN,CNOR,RNFANPI 1255652897

Title

Owner

Phone

(936) 537-1563

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melanie Lynn Dodson, RNFA

  • Registered Nurse First Assistant
  • Willis, TX
  • NPI 1255652897
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429660800000",
    "number": "1821485376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12959 BRUCE RD",
            "city": "WILLIS",
            "state": "TX",
            "postal_code": "773186608",
            "telephone_number": "936-537-1563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12959 BRUCE RD",
            "city": "WILLIS",
            "state": "TX",
            "postal_code": "773186608",
            "telephone_number": "936-537-1563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MLD SURGICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-22",
        "last_updated": "2015-04-22",
        "status": "A",
        "authorized_official_last_name": "DODSON",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-537-1563",
        "authorized_official_credential": "RN,BSN,CNOR,RNFA"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "TX",
            "license": "630605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cassidy Annalee Miller, DO
• Alyssa Beth Molina, M.D.
• Montgomery Primary Care
• Lauren Rebecca Moore
• National Vision Inc
• Network Provider Associates, P.C.

• Registered Nurse First Assistant in Willis, TX
• Providers in Willis, TX by specialty
• Registered Nurse First Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.