| Memfammed Pllc | |
|
3403 Andrews Hwy Ste 100 Midland TX 79703-5132 | |
| (432) 704-2700 | |
| (432) 704-1250 |
| Full Name | Memfammed Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 3403 Andrews Hwy Ste 100, Midland, Texas |
| Authorized Official Name and Position | Mashanda Eleah May (FNP-C/OWNER) |
| Authorized Official Contact | 4327042700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Memfammed Pllc 3403 Andrews Hwy Ste 100 Midland TX 79703-5132 Ph: (432) 704-2700 | Memfammed Pllc 3403 Andrews Hwy Ste 100 Midland TX 79703-5132 Ph: (432) 704-2700 |
| NPI Number | 1922696772 |
|---|---|
| Provider Enumeration Date | 01/07/2021 |
| Last Update Date | 01/21/2021 |
| Medicare PECOS PAC ID | 7719391333 |
|---|---|
| Medicare Enrollment ID | O20210122000182 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922696772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Mashanda E May |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710499256 PECOS PAC ID: 2466710983 Enrollment ID: I20171211000831 |
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