| Midland County | |
|
1403 W Illinois Ave Midland TX 79701-6536 | |
| (432) 620-0272 | |
| Not Available |
| Full Name | Midland County |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1403 W Illinois Ave, Midland, Texas |
| Authorized Official Name and Position | Jon Leizman (PRESIDENT) |
| Authorized Official Contact | 2164799063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midland County 5500 Maryland Way Brentwood TN 37027-7048 Ph: () - | Midland County 1403 W Illinois Ave Midland TX 79701-6536 Ph: (432) 620-0272 |
| NPI Number | 1588337497 |
|---|---|
| Provider Enumeration Date | 07/27/2021 |
| Last Update Date | 08/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588337497 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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