Organization
MIDLAND PEDIATRIC ASSOCIATION, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA BENSON (OM)
(432) 620-8687
Entity
Organization
Contact information
Practice address
4214 MAMIES CIR, MIDLAND, TX 79707-2123
(432) 620-8687
(432) 682-1831
Mailing address
4214 MAMIES CIR, MIDLAND, TX 79707-2123
(432) 620-8687
(432) 682-1831
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
095078402
—
TX
Enumeration date
09/16/2005
Last updated
06/14/2023
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