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Organization

LYDEN C ODUKWU MD PA

Active
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Organization

LYDEN C ODUKWU MD PA

Active
Other names
MIDLAND FAMILY CARE
Organization subpart
No

Provider details

NPI number
Authorized official
LYDEN C ODUKWU MD (OWNER)
(432) 620-0520
Entity
Organization

Contact information

Practice address
3305 ANDREWS HWY STE B, MIDLAND, TX 79703-5130
(432) 620-0525
Mailing address
PO BOX 4516, MIDLAND, TX 79704-4516
(432) 620-0525

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L7830
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0036MP
BCBS
TX
Enumeration date
02/05/2008
Last updated
02/05/2008
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