West Texas Endocrinology & Diabetes Pa | |
4712 Northbrook Lane Midland TX 79707 | |
(432) 262-3880 | |
Not Available |
Full Name | West Texas Endocrinology & Diabetes Pa |
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Speciality | Internal Medicine |
Location | 4712 Northbrook Lane, Midland, Texas |
Authorized Official Name and Position | Ravi C Borra (PRESIDENT) |
Authorized Official Contact | 4322623880 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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West Texas Endocrinology & Diabetes Pa 4712 Northbrook Lane Midland TX 79707 Ph: (432) 262-3880 | West Texas Endocrinology & Diabetes Pa 4712 Northbrook Lane Midland TX 79707 Ph: (432) 262-3880 |
NPI Number | 1578974754 |
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Provider Enumeration Date | 05/09/2014 |
Last Update Date | 05/14/2021 |
Medicare PECOS PAC ID | 4486873312 |
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Medicare Enrollment ID | O20140908002271 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578974754 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
Provider Name | Ravi C Borra |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1003075664 PECOS PAC ID: 4880813716 Enrollment ID: I20140909000261 |
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