Organization
MARTA WILLOUGHBY MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTA G WILLOUGHBY MD (PRESIDENT)
(432) 218-8880
Entity
Organization
Contact information
Practice address
3423 CALDERA, MIDLAND, TX 79707
(432) 699-6271
(432) 699-6296
Mailing address
5600 HEARTLAND COURT, MIDLAND, TX 79707-1111
(432) 218-8880
(432) 218-8880
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
M2204
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M2204
LICENSE
TX
Enumeration date
09/25/2009
Last updated
09/25/2009
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