NPI age
19 years
Enumerated 2007-03-15
● Active Type 2 · Organization
Subpart
Med Tel International Corporation
Med Tel International Corporation is 1 of 237 clinic/center organizations in Texas.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Valla
Vice President
Last NPPES update
2008-01-14
Source: monthly bulk 2026-05
How this organization compares
Across 237 active clinic/center providers in Texas.
NPI age
19 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-03Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
1321 W 2nd Ave
Corsicana, TX 751103775
Mailing address
1430 Spring Hill Rd, Suite 500
McLean, VA 221023000
Authorized official
John Valla
Vice President
📞 9738739850
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Shahroz Kidwai, M.D. Emergency Medicine NPI 1013200062
- Justin Ward, DO Family Medicine NPI 1689306151
Specialties
-
Clinic/Center PrimaryDefinition to come...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Wide Open MRI
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
Subpart of Med Tel International Corporation.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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