| Melissa Alworth D.o. P.a. | |
|
4519 N Garfield Suite 15 Midland TX 79705-3400 | |
| (432) 699-0952 | |
| Not Available |
| Full Name | Melissa Alworth D.o. P.a. |
|---|---|
| Speciality | General Practice |
| Location | 4519 N Garfield, Midland, Texas |
| Authorized Official Name and Position | Melissa D Alworth (PRESIDENT) |
| Authorized Official Contact | 5802226935 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Alworth D.o. P.a. Po Box 4157 Midland TX 79704-4157 Ph: (432) 699-0952 | Melissa Alworth D.o. P.a. 4519 N Garfield Suite 15 Midland TX 79705-3400 Ph: (432) 699-0952 |
| NPI Number | 1104193721 |
|---|---|
| Provider Enumeration Date | 11/28/2011 |
| Last Update Date | 03/14/2012 |
| Medicare PECOS PAC ID | 2365609823 |
|---|---|
| Medicare Enrollment ID | O20120210000526 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104193721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | L6763 (Texas) | Primary |
| Provider Name | Melissa D Alworth |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1942454525 PECOS PAC ID: 8729060520 Enrollment ID: I20040604000588 |
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