Organization
FAMILY CARE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RAFAT TAJWAR BILLING (SUPERVISOR)
(432) 689-6818
Entity
Organization
Contact information
Practice address
4506 BRIARWOOD AVE, MIDLAND, TX 79707-2642
(432) 689-6818
(432) 689-6818
Mailing address
PO BOX 9753, MIDLAND, TX 79708-9753
(432) 689-6818
(432) 699-0817
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0022DD
BLUE CROSS BLUE SHIELD
TX
01
—
5627454
AETNA
TX
Enumeration date
03/27/2008
Last updated
03/27/2008
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