OrganizationMid-South Medical Management LlcInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address8105 Rasor Blvd Ste 120, Plano, TX 75024-0336(214) 210-0606PECOS EnrollmentBased on the most recent information from CMS, provider Mid-South Medical Management Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1689439481Provider TypeOrganizationFull NameMid-South Medical Management LlcSubpartNoEnumeration Date2/20/2024Last Updated2/20/2024Contact InformationPractice LocationPractice Address8105 Rasor Blvd Ste 120, Plano, TX 75024-0336Phone(214) 210-0606Fax(855) 844-1068Mailing LocationMailing Address8105 Rasor Blvd Ste 120, Plano, TX 75024-0336Phone(214) 210-0606Fax(855) 844-1068Authorized OfficialNameBrown-Harris, Beverly (President)Phone(214) 210-0606Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer