# FEMVIDA, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700286333
- **Authorized official:** DR. LESLIE ELAINE CHUPP M.D. (DIRECTOR/OWNER)
- **Authorized official phone:** (432) 262-3822

## Contact information

- **Practice address:** 1211 W ILLINOIS AVE, MIDLAND, TX 79701-6158
- **Practice address phone:** (432) 262-3822
- **Practice address fax:** (432) 262-4824
- **Mailing address:** 1211 W ILLINOIS AVE, MIDLAND, TX 79701-6158
- **Mailing address phone:** (432) 262-3822
- **Mailing address fax:** (432) 262-4824

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | H6119 | TX | Yes |

## Other

- **Enumeration date:** 09/02/2014
- **Last updated:** 11/03/2014