SLATER-DELK MEDICAL PLLC GEN PTR (NPI# 1912352485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912352485 |
| Entity Type | Organization |
| Organization Name | SLATER-DELK MEDICAL PLLC GEN PTR |
| Other Organization Name | VITAL CARE FAMILY PRACTICE |
| Practice Address |
4400 N Midland Dr Ste 406 B Midland TX 79707-3385 |
| Mailing Address |
Po Box 4467 Midland TX 79704-4467 |
| Practice Telephone | 4326871133 |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2016-05-03 |
| Authorized Official Name | NEILL SLATER (OWNER) |
| Authorized Official Telephone | 4326872273 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | SLATER-DELK MEDICAL PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | TX | Allopathic & Osteopathic Physicians | |
| N | 208D00000X | General Practice | AP121037 | TX | Allopathic & Osteopathic Physicians |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
TX | Physician Assistants & Advanced Practice Nursing Providers | |
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| VITAL CARE FAMILY PRACTICE | Doing Business As Name - Organization |
| Street Address |
4400 N MIDLAND DR STE 406 B |
| City | MIDLAND |
| State | TX |
| Zip Code | 79707-3385 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912909003 | Sriyuta Thota | Optometrist | 4400 N Midland Dr, Suite 404, Midland, TX 79707-3385 | 2005-06-02 |
| 1528504065 | Nsmd Medical Pllc | Family Medicine | 4400 N Midland Dr, 406b, Midland, TX 79707-3385 | 2017-01-09 |
| 1679956619 | Reema Kalpesh Patel | Dentist | 4400 N Midland Dr, Midland, TX 79707-3385 | 2015-07-08 |
| 1386063923 | Nimesh Shingala Dds PC | Dentist | 4400 N Midland Dr, 702, Midland, TX 79707-3385 | 2014-04-10 |
| 1568749091 | Sun Diagnostics Lp | Clinic/Center | 4400 N Midland Dr, Suite 506, Midland, TX 79707-3385 | 2011-11-11 |
| 1548312465 | Midland Complete Family Care and Associates | Obstetrics & Gynecology | 4400 N Midland Dr, Ste 506a, Midland, TX 79707-3385 | 2007-01-18 |
| 1760596936 | Bobby G Ray | Optometrist | 4400 N Midland Dr, Suite 404, Midland, TX 79707-3385 | 2006-08-18 |
| 1790705226 | Mario M Gross, Md, Pa | Obstetrics & Gynecology | 4400 N Midland Dr, Suite 506, Midland, TX 79707-3385 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861164 | Daniel & Max, LLC | Optometrist | 3110 N Loop 250 W, Suite 200, Midland, TX 79707 | 2020-11-02 |
| 1396196036 | Endurance Inc | Pharmacy | 4906 Briarwood, Midland, TX 79707 | 2016-06-23 |
| 1841683356 | Carson Riley Phillips | Dentist | 4425 W Wadley Ave Ste 100, Midland, TX 79707 | 2015-03-07 |
| 1336538610 | Permian Basin Er II | Clinic/Center | 3201 N. Midland Drive, Ste 130, Midland, TX 79707 | 2015-01-09 |
| 1659776342 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 5315 Briarwood Ave, Midland, TX 79707 | 2014-10-24 |
| 1982958799 | Tara Rae Nagel | Nurse Practitioner | 4214 Mamies Cir, Midland Pediatric Associates, Midland, TX 79707 | 2012-10-31 |
| 1336432046 | Ashley Thrasher Bell | Physician Assistant | 3600 N Garfield, Ttuhsc Pa Program, Midland, TX 79707 | 2011-05-27 |
| 1053626622 | Jerry Milton Lyon | Nurse Practitioner | 5000 Briarwood Ave Ste 203, Midland, TX 79707 | 2010-08-08 |
| 1053645838 | Marta Willoughby Md Pa | Clinic/Center | 3423 Caldera, Midland, TX 79707 | 2009-09-25 |
| 1326251950 | Bonnie Lloyd Clemmer | Registered Nurse | 3600 W Loop 250 North, Apt 1083, Midland, TX 79707 | 2007-05-08 |
| Find all providers in zip 79707 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124586862 | Midessa Integrative Medicine | Internal Medicine | 4311 Andrew Hwy, B, Midland, TX 79703-4823 | 2019-03-12 |
| 1558857177 | Midland Ambulatory Surgery Center, LLC | Internal Medicine | 2106 N Midland Dr Ste 100, Midland, TX 79707-5503 | 2018-07-06 |
| 1932541406 | Madhavi Gadiraju | Internal Medicine | 2402 W Wall St Ste 2, Midland, TX 79701-6316 | 2013-07-24 |
| 1346541943 | Stephen L Wiesenfeld | Internal Medicine | 3102 Shell Ave, Midland, TX 79705-8237 | 2010-11-12 |
| 1689989238 | Sentinel Medical Group Pllc | Internal Medicine | 4706 Greentree Blvd, Midland, TX 79707-1610 | 2010-08-06 |
| 1306167309 | Maung K Hlaing | Internal Medicine | 4805 Briarwood Ave, Apt E 206, Midland, TX 79707-2625 | 2010-06-14 |
| 1073833075 | Phillip Hyunsuk Chae | Internal Medicine | 400 Rosalind Redfern Grover Pkwy Ste 100, Craddick Medical Office Bldg., Midland, TX 79701-5849 | 2010-06-02 |
| 1306162557 | Leela Kumar Lella | Internal Medicine | 400 Rosalind Redfern Grover Pkwy Ste 240, Midland, TX 79701-5856 | 2010-04-13 |
| 1497985188 | Vikram Reddy Vadyala | Internal Medicine | 2817 W Loop 250 N Ste A, Midland, TX 79705-3205 | 2009-07-16 |
| 1295969699 | Ramakrishna Thokala | Internal Medicine | 3302 W Golf Course Rd Ste 100, Midland, TX 79703 | 2009-05-13 |
| 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.