# PREMIER FAMILY CARE I, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PREMIER PHYSICIANS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275522864
- **Authorized official:** CANDACE WYNNE (CREDENTIALING)
- **Authorized official phone:** (432) 686-6605

## Contact information

- **Practice address:** 4214 ANDREWS HWY STE 240, MIDLAND, TX 79703-4817
- **Practice address phone:** (432) 686-6605
- **Practice address fax:** (432) 682-2284
- **Mailing address:** PO BOX 5426, BELFAST, ME 04915-5400
- **Mailing address phone:** (432) 686-6600
- **Mailing address fax:** (432) 682-2284

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | — |
| 207L00000X | Anesthesiology Physician | — | — | — |
| 207N00000X | Dermatology Physician | — | NULL | — |
| 207N00000X | Dermatology Physician | — | — | — |
| 207ND0101X | MOHS-Micrographic Surgery Physician | — | NULL | — |
| 207ND0101X | MOHS-Micrographic Surgery Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RI0200X | Infectious Disease Physician | — | NULL | — |
| 207RI0200X | Infectious Disease Physician | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | NULL | — |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | — | — |
| 208200000X | Plastic Surgery Physician | — | NULL | — |
| 208200000X | Plastic Surgery Physician | — | — | — |
| 2084N0400X | Neurology Physician | — | NULL | — |
| 2084N0400X | Neurology Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |
| 208VP0014X | Interventional Pain Medicine Physician | — | NULL | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | — | — |
| 261QR0404X | Cardiac Rehabilitation Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 10/17/2005
- **Last updated:** 06/13/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0008AH | BCBS | TX |
| 01 | — | 018061401 | MEDICAID EPSDT | TX |
| 05 | — | 079837301 | — | TX |