| Midland Medical Group Pa | |
|
25 Village Circle Midland TX 79701 | |
| (432) 571-7016 | |
| (432) 571-7071 |
| Full Name | Midland Medical Group Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 25 Village Circle, Midland, Texas |
| Authorized Official Name and Position | Jana Sparks (MANAGING EMPLOYEE) |
| Authorized Official Contact | 4325717061 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midland Medical Group Pa Po Box 2080 Midland TX 79702-2080 Ph: (432) 571-7016 | Midland Medical Group Pa 25 Village Circle Midland TX 79701 Ph: (432) 571-7016 |
| NPI Number | 1245299353 |
|---|---|
| Provider Enumeration Date | 03/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245299353 | NPI | - | NPPES |
| 0011LH | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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