MIDLAND MINOR PA (NPI# 1194852400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194852400 |
| Entity Type | Organization |
| Organization Name | MIDLAND MINOR PA |
| Other Organization Name | FIRST CARE |
| Practice Address |
2310 W Ohio Ave Midland TX 79701-5844 |
| Practice Telephone | 4326869708 |
| Practice Fax Number | 4326860543 |
| Mailing Telephone | 4326869708 |
| Mailing Fax Number | 4326860543 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DAVID CHARLES TERRIER (MANAGER) |
| Authorized Official Telephone | 4326869708 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | WORK COMP ID | MDG8562 | 01 |
| TX | BCBS ID | 889272 | 01 |
| TX | DR KINZIE MEDICAL LIC | G8562 | 01 |
| Other Name | Type Code |
|---|---|
| First Care | Doing Business As Name - Organization |
| Street Address |
2310 W OHIO AVE |
| City | MIDLAND |
| State | TX |
| Zip Code | 79701-5844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839622 | Ryan Alexander Buda | Dentist | 2212 S Rankin Hwy Suite E Midland, Texas 79701, Midland, TX 79701 | 2020-07-30 |
| 1003441460 | Kendra Denise Alexander | Nurse Practitioner | 911 West Texas Ave, Midland, TX 79701 | 2020-03-06 |
| 1528531134 | Bliss Rankin Dentistry Pllc | Dentist | 2212 S. Rankin Hwy, Suite E, Midland, TX 79701 | 2019-01-07 |
| 1891209540 | Sleep Interventions, LLC | Durable Medical Equipment & Medical Supplies | 2300 W Michigan Ave Ste 2, Midland, TX 79701 | 2017-11-16 |
| 1457899940 | Bonolo Blessed Odirile | Dentist | 2101 Midland Drive, #14, Midland, TX 79701 | 2017-02-06 |
| 1700235603 | Lisa Lozano Dba Credence Counseling | Counselor | 2114 W. Michigan, Midland, TX 79701 | 2016-06-10 |
| 1578809406 | Todd Aaron Stack | Physician Assistant | 1703 Country Club Drive, Midlad, TX 79701 | 2012-12-20 |
| 1134475080 | Kathryn G Blonkvist | Physical Therapist | 301 Dodson St., Midland, TX 79701 | 2012-07-30 |
| 1487953303 | Patricia A Homer | Counselor | 3416 W Wall St Ste 106, Midland, TX 79701 | 2011-03-17 |
| 1548586415 | Thomas Caputo | Dentist | 1411 W. Wall St., Midland, TX 79701 | 2010-04-15 |
| Find all providers in zip 79701 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487252458 | Midland Express Urgent and Family Care | Clinic/Center | 600 Cambridge St Ste 1, Midland, MI 48642-4508 | 2020-10-13 |
| 1639329949 | Courtyard Primary Care & Medical Spa,pa | Clinic/Center | 4410 N Midkiff Rd Ste D6, Midland, TX 79705-4249 | 2008-09-23 |
| 1740841451 | Pro-health Medical Fp-midland | Clinic/Center | 111 E Wackerly St Ste D, Midland, MI 48642-7043 | 2019-06-24 |
| 1417429028 | Medical Care Innovation, P.C. | Clinic/Center | 715 East Main Street, Midland, MI 48640 | 2018-12-20 |
| 1740701184 | Ogeda Family Care, Pllc | Clinic/Center | 4506 Briarwood Ave Ste A, Midland, TX 79707-2642 | 2017-07-06 |
| 1528451101 | Tall City Convenient Primary Care | Clinic/Center | 4519 N Garfield St, Suite 6, Midland, TX 79705-3415 | 2015-03-06 |
| 1316363187 | Kristen J Kozma Do Pa | Clinic/Center | 1304 W Texas Ave, Midland, TX 79701-6176 | 2014-03-17 |
| 1942621990 | Great Lakes Health, LLC | Clinic/Center | 2726 N Saginaw Rd, Midland, MI 48640-2633 | 2013-12-18 |
| 1316218597 | T.j. Nugent D.c., P.l.c. | Clinic/Center | 2931 Manor Dr, Midland, MI 48640-4476 | 2012-01-20 |
| 1497047781 | Four Seasons Health and Wellness | Clinic/Center | 2200 W Wadley Ave, Suite 10, Midland, TX 79705-6438 | 2011-05-05 |
| Find all providers in MIDLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.