institution
Midland Minor Pa
Primary Care Clinic/Center in Midland, Texas
NPI 1194852400

Midland Minor Pa is a Primary Care Clinic/Center based in Midland, TX and is specialized in Primary Care. Midland Minor Pa practices in Midland, TX. The NPI Number for Midland Minor Pa is 1194852400 and holds a License No. (Texas).

The current practice location address for Midland Minor Pa is 2310 W Ohio Ave, Midland, TX and can be reached out via phone at 432-686-9708 and via fax at 432-686-0543.

Location: 2310 W Ohio Ave, Midland, TX, 79701-5844
institution
Provider Profile Details
NPI Number
1194852400
Provider Name
Midland Minor Pa
Credential
Provider Entity Type
Organization
Address
2310 W Ohio Ave, Midland, TX, 79701-5844
Phone Number
432-686-9708
Fax Number
432-686-0543
Provider Enumeration Date
02/27/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
889272 01 TX BCBS ID
G8562 01 TX DR KINZIE MEDICAL LIC
MDG8562 01 TX WORK COMP ID
institution
Provider Business Practice Location Address Details
Address
2310 W Ohio Ave
City
State
Zip
79701-5844
Phone Number
432-686-9708
Fax Number
432-686-0543
person
Provider Business Mailing Address Details
Address
2310 W Ohio Ave
City
State
Zip
79701-5844
Phone Number
432-686-9708
Fax Number
432-686-0543
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
()
Definition
Definition to come...
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