OrganizationActive
Medical Associates for Ltc
NPI 1841487212 · Gerontology Nurse Practitioner · Hideaway, TX
Provider details
- NPI number
- 1841487212
- Entity type
- Organization
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Deborah Sanders, Owner(903) 530-6745
- License
- 244705 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
437 Hideaway Ln E
Hideaway, TX 75771-5213
Phone: (903) 530-6745
Fax: (903) 882-8134
Approximate (ZIP-level) locationGet directions
Mailing address
437 Hideaway Ln E
Hideaway, TX 75771-5213
Registry dates
- Enumerated
- 2007-10-01
- Last updated
- 2014-05-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.