| Ogeda Family Care, Pllc | |
|
4506 Briarwood Ave Ste A Midland TX 79707-2642 | |
| (432) 689-6818 | |
| (432) 689-6901 |
| Full Name | Ogeda Family Care, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4506 Briarwood Ave Ste A, Midland, Texas |
| Authorized Official Name and Position | Marivel Catano (CLINIC OFFICE MANAGER) |
| Authorized Official Contact | 4326896818 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ogeda Family Care, Pllc Po Box 8148 Midland TX 79708-8148 Ph: (432) 689-6818 | Ogeda Family Care, Pllc 4506 Briarwood Ave Ste A Midland TX 79707-2642 Ph: (432) 689-6818 |
| NPI Number | 1740701184 |
|---|---|
| Provider Enumeration Date | 07/06/2017 |
| Last Update Date | 09/25/2018 |
| Medicare PECOS PAC ID | 9436401627 |
|---|---|
| Medicare Enrollment ID | O20181017000876 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740701184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | M3675 (Texas) | Primary |
| Provider Name | Fidel L Ogeda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669494548 PECOS PAC ID: 7315947454 Enrollment ID: I20070113000052 |
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