Organization
PERMIAN CARDIOLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDACE WYNNE (CREDENTIALING)
(432) 686-6605
Entity
Organization
Contact information
Practice address
400 ROSALIND REDFERN GROVER PKWY, SUITE 240, MIDLAND, TX 79701-5846
(432) 683-2723
(432) 683-4907
Mailing address
400 ROSALIND REDFERN GROVER PKWY, SUITE 240, MIDLAND, TX 79701-5846
(432) 683-2723
(432) 683-4907
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
TX
Other
Enumeration date
12/06/2010
Last updated
09/03/2020
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