| Midland Family Care | |
|
3305 Andrews Hwy Ste B Midland TX 79703-5130 | |
| (432) 620-0525 | |
| Not Available |
| Full Name | Midland Family Care |
|---|---|
| Speciality | Family Medicine |
| Location | 3305 Andrews Hwy Ste B, Midland, Texas |
| Authorized Official Name and Position | Lyden C Odukwu (OWNER) |
| Authorized Official Contact | 4326200520 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midland Family Care Po Box 4516 Midland TX 79704-4516 Ph: (432) 620-0525 | Midland Family Care 3305 Andrews Hwy Ste B Midland TX 79703-5130 Ph: (432) 620-0525 |
| NPI Number | 1427236215 |
|---|---|
| Provider Enumeration Date | 02/05/2008 |
| Last Update Date | 02/05/2008 |
| Medicare PECOS PAC ID | 1850336389 |
|---|---|
| Medicare Enrollment ID | O20050624000133 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427236215 | NPI | - | NPPES |
| 0036MP | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | L7830 (Texas) | Primary |
| Provider Name | Lyden C Odukwu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043204035 PECOS PAC ID: 1951290782 Enrollment ID: I20040311000495 |
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