Midland Minor Pa is a Primary Care in Midland, Texas. Midland Minor Pa practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Midland Minor Pa is 1194852400. The last update date is 2020-08-22.
Midland Minor Pa's current location address is 2310 W Ohio Ave, Midland, Texas. You can contact this provider via phone number 4326869708 and fax number 4326860543. The mailing address for Midland Minor Pa is 2310 W Ohio Ave, Midland, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Midland Minor Pa |
|---|---|
| Address | 2310 W Ohio Ave, Midland, Texas |
| Phone Number | 4326869708 |
| Fax Number | 4326860543 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Terrier Charles David |
| Telephone Number | 4326869708 |
NPI Number Detail
| NPI Number | 1194852400 |
|---|---|
| Provider Enumeration Date | 2007-02-27 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2310 W Ohio Ave |
|---|---|
| City | Midland |
| State | Texas (TX) |
| Post Code | 797015844 |
| Phone Number | 4326869708 |
| Fax Number | 4326860543 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Care |
|---|---|
| Taxonomy | 261Qp2300X |
|
Definition: Serves as the first point of contact for comprehensive healthcare services. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 889272 | TX | BCBS ID | |
| G8562 | TX | DR KINZIE MEDICAL LIC | |
| MDG8562 | TX | WORK COMP ID |
Post Comment/ Review Below
What is the unique identifier code issued to Midland Minor Pa by the Centers for Medicare & Medicaid Services (CMS)?
The Midland Minor Pa has been assigned the NPI (National Provider Identifier) 1194852400. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Midland Minor Pa is located?
The Midland Minor Pa is situated at the following address: 2310 W Ohio Ave, Midland, TX, 797015844.
What is the area of specialization for Midland Minor Pa, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Midland Minor Pa is Primary Care, and the corresponding taxonomy code that categorizes this area of expertise is 261Qp2300X.
On what date did the Centers for Medicare & Medicaid Services issue the 1194852400 to Midland Minor Pa?
The Midland Minor Pa received its 1194852400 assignment from the Centers for Medicare & Medicaid Services on 2007-02-27.
As of what date were the Midland Minor Pa's details last updated?
The information pertaining to the Midland Minor Pa, including its address, specialty, and other details, was most recently updated on 2020-08-22.