| Our Family Urgent Care | |
|
2304 W Michigan Ave Midland TX 79701-5830 | |
| (432) 695-6932 | |
| (800) 708-5070 |
| Full Name | Our Family Urgent Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 2304 W Michigan Ave, Midland, Texas |
| Authorized Official Name and Position | Dorothy Pauline Moore (OWNER) |
| Authorized Official Contact | 7138934773 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Our Family Urgent Care 2304 W Michigan Ave Midland TX 79701-5830 Ph: (432) 695-6932 | Our Family Urgent Care 2304 W Michigan Ave Midland TX 79701-5830 Ph: (432) 695-6932 |
| NPI Number | 1528510260 |
|---|---|
| Provider Enumeration Date | 10/28/2016 |
| Last Update Date | 03/14/2017 |
| Medicare PECOS PAC ID | 5890076426 |
|---|---|
| Medicare Enrollment ID | O20161220000039 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528510260 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (Texas) | Primary |
| Provider Name | Kenneth Ralph Winton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922085521 PECOS PAC ID: 2769471838 Enrollment ID: I20040512000793 |
| Provider Name | Kyungho S Choi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144200890 PECOS PAC ID: 8224009527 Enrollment ID: I20040802000832 |
| Provider Name | Dorothy P Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285005983 PECOS PAC ID: 3971884503 Enrollment ID: I20161220000172 |
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