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Organization
STONEHAVEN MEDICAL GROUP, PLLC
Active
Organization
STONEHAVEN MEDICAL GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICKEY W HAMBY JR. MD (MD/OWNER)
(432) 219-9200
Entity
Organization
Contact information
Practice address
4519 N GARFIELD ST STE 1, MIDLAND, TX 79705-3400
(432) 219-9200
(432) 218-7879
Mailing address
4416 BRIARWOOD AVE # 110-87, MIDLAND, TX 79707-2615
(432) 219-9200
(432) 218-7879
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P7455
TX MEDICAL LICENSE
TX
Enumeration date
10/09/2020
Last updated
05/05/2022
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