| Permian Gastroenterology, P.a. | |
|
4214 Andrews Hwy Ste 203 Midland TX 79703-4871 | |
| (432) 697-1000 | |
| (432) 697-6000 |
| Full Name | Permian Gastroenterology, P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 4214 Andrews Hwy Ste 203, Midland, Texas |
| Authorized Official Name and Position | Govind Bhogilal Patel (PHYSICIAN) |
| Authorized Official Contact | 4326971000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Permian Gastroenterology, P.a. 4214 Andrews Hwy Ste 203 Midland TX 79703-4871 Ph: (432) 697-1000 | Permian Gastroenterology, P.a. 4214 Andrews Hwy Ste 203 Midland TX 79703-4871 Ph: (432) 697-1000 |
| NPI Number | 1477652964 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 12/06/2007 |
| Medicare PECOS PAC ID | 2668699398 |
|---|---|
| Medicare Enrollment ID | O20140804001431 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477652964 | NPI | - | NPPES |
| CI6074 GROUP NUMBER | Other | TX | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Govind B Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073555249 PECOS PAC ID: 9830333715 Enrollment ID: I20130916000056 |
| Provider Name | Mrunal C Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528000734 PECOS PAC ID: 3476770108 Enrollment ID: I20141230000538 |
| Provider Name | Daniel J Dominguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720610447 PECOS PAC ID: 6002224144 Enrollment ID: I20210409000974 |
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