MCH PROFESSIONAL CARE NPI 1649391269

NPI Information

NPI: 1649391269
Provider Name: MCH PROFESSIONAL CARE

Doing Business As: MCH PROCARE

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 45D2060483

Address:
8050 E HIGHWAY 191 STE 108
ODESSA, TX
ZIP 79765
Phone: (432) 640-2401
Get Directions

MCH PROFESSIONAL CARE is a multi-specialty clinic center in Odessa, TX. MCH PROFESSIONAL CARE NPI is 1649391269. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mch Procare.

The provider's business location address is:

8050 E HIGHWAY 191 STE 108
ODESSA, TX
ZIP 79765-614
Phone: (432) 640-2401
Fax: (432) 640-4606

The provider's authorized official is Adiel Alvarado .
The authorized official title is President and has the following contact phone number (432) 640-2401.

The CLIA number assigned to this NPI record is 45D2060483 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/2/2007 and was last updated on 5/12/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207Q00000X	Family Medicine		No
2	207R00000X	Internal Medicine		No
3	207RC0000X	Internal Medicine	Cardiovascular Disease	No
4	207RC0001X	Internal Medicine	Clinical Cardiac Electrophysiology	No
5	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism	No
6	207RG0100X	Internal Medicine	Gastroenterology	No
7	207RI0200X	Internal Medicine	Infectious Disease	No
8	207V00000X	Obstetrics & Gynecology		No
9	207X00000X	Orthopaedic Surgery		No
10	207Y00000X	Otolaryngology		No
11	2086S0129X	Surgery	Vascular Surgery	No
12	208VP0000X	Pain Medicine	Pain Medicine	No
13	261QM1300X	Clinic/Center	Multi-Specialty	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	159279202	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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