Organization
MIDLAND MINOR PA
Active
Other names
First Care
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID CHARLES TERRIER (MANAGER)
(432) 686-9708
Entity
Organization
Contact information
Practice address
2310 W OHIO AVE, MIDLAND, TX 79701-5844
(432) 686-9708
(432) 686-0543
Mailing address
2310 W OHIO AVE, MIDLAND, TX 79701-5844
(432) 686-9708
(432) 686-0543
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
889272
BCBS ID
TX
01
—
G8562
DR KINZIE MEDICAL LIC
TX
01
—
MDG8562
WORK COMP ID
TX
Enumeration date
02/27/2007
Last updated
08/22/2020
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