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FAMILY CARE CLINIC NPI 1114199353


NPI Information

NPI: 1114199353
Provider Name: FAMILY CARE CLINIC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 45D2137821

Address:
4506 BRIARWOOD AVE
MIDLAND, TX
ZIP 79707
Phone: (432) 689-6818
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FAMILY CARE CLINIC is an internal medicine in Midland, TX. The provider is 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. FAMILY CARE CLINIC NPI is 1114199353. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4506 BRIARWOOD AVE
MIDLAND, TX
ZIP 79707-642
Phone: (432) 689-6818
Fax: (432) 689-6818

The provider's authorized official is Rafat Tajwar .
The authorized official title is Supervisor and has the following contact phone number (432) 689-6818.

The CLIA number assigned to this NPI record is 45D2137821 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/27/2008 and was last updated on 3/27/2008.


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 License Number License State Primary
1207R00000XInternal MedicineYes

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
10022DDOTHERTEXASBLUE CROSS BLUE SHIELD
25627454OTHERTEXASAETNA

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

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