MDA DIVERSIFIED ENTERPRISES CORP – Nurse Practitioner, NPI 1598347890

MDA DIVERSIFIED ENTERPRISES CORP is a healthcare provider. based in Porter, Texas. specializing in Nurse Practitioner. The NPI Number for MDA DIVERSIFIED ENTERPRISES CORP is 1598347890

Main info

Organization
Name
MDA DIVERSIFIED ENTERPRISES CORP
NPI
1598347890
Phone
(281) 381-6190
Address
21013 OLD SORTERS RD STE E
Authorized Official
BETTY BROWN CREDENTIAL/BILLER
Enumeration Date
26 April 2021
Last Update Date
26 April 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:5State licenses:0Digital endpointsOther names

Provider Addresses for MDA DIVERSIFIED ENTERPRISES CORP

  • 21013 OLD SORTERS RD STE E

    PORTER, TX 773657083

    Phone: (281) 381-6190

    Type: Mailing

  • 23527 FM 1314 RD STE E

    PORTER, TX 773653724

    Phone: (281) 381-6190

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77365)

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Reviews

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Frequently asked questions

How do I look up MDA DIVERSIFIED ENTERPRISES CORP by NPI?
Use NPI 1598347890 when you need to reference MDA DIVERSIFIED ENTERPRISES CORP in forms, claims, or directories.
Is MDA DIVERSIFIED ENTERPRISES CORP's NPI currently valid?
The extract we use shows MDA DIVERSIFIED ENTERPRISES CORP as active.
What kind of provider is MDA DIVERSIFIED ENTERPRISES CORP?
The page reflects Nurse Practitioner for MDA DIVERSIFIED ENTERPRISES CORP. Clinical services aligned with this taxonomy classification.
What location shows for MDA DIVERSIFIED ENTERPRISES CORP?
We surface Porter, Texas for MDA DIVERSIFIED ENTERPRISES CORP based on available NPPES addresses.
How can I contact MDA DIVERSIFIED ENTERPRISES CORP?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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