| Courtyard Primary Care & Medical Spa,pa | |
|
4410 N Midkiff Rd Ste D6 Midland TX 79705-4249 | |
| (432) 689-6000 | |
| (432) 689-6003 |
| Full Name | Courtyard Primary Care & Medical Spa,pa |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4410 N Midkiff Rd Ste D6, Midland, Texas |
| Authorized Official Name and Position | Edwin Brady Locke (CEO/OWNER) |
| Authorized Official Contact | 4326992370 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Courtyard Primary Care & Medical Spa,pa 4410 N Midkiff Rd Ste D6 Midland TX 79705-4249 Ph: (432) 689-6000 | Courtyard Primary Care & Medical Spa,pa 4410 N Midkiff Rd Ste D6 Midland TX 79705-4249 Ph: (432) 689-6000 |
| NPI Number | 1639329949 |
|---|---|
| Provider Enumeration Date | 09/23/2008 |
| Last Update Date | 10/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639329949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | K5608 (Texas) | Primary |
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