Individual
MICHAEL JARED HESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
400 ROSALIND REDFERN GROVER PKWY STE 200, MIDLAND, TX 79701-5852
(432) 221-2107
(432) 682-1707
Mailing address
4214 ANDREWS HWY STE 240, MIDLAND, TX 79703-4817
(432) 686-6600
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP135414
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
662202
TX MEDICARE
TX
Enumeration date
10/16/2017
Last updated
09/02/2020
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