Organization
TALL CITY CONVENIENT PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP D TALLEY FNP-C (CO-OWNER)
(432) 352-4443
Entity
Organization
Contact information
Practice address
4519 N GARFIELD ST, SUITE 6, MIDLAND, TX 79705-3415
(432) 352-4443
Mailing address
4519 N GARFIELD ST, SUITE 6, MIDLAND, TX 79705-3415
(432) 352-4443
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
AP125677
TX
261QP2300X
Primary Care Clinic/Center
Primary
AP127457
TX
261QU0200X
Urgent Care Clinic/Center
AP125677
TX
261QU0200X
Urgent Care Clinic/Center
AP127457
TX
261QX0100X
Occupational Medicine Clinic/Center
AP125677
TX
261QX0100X
Occupational Medicine Clinic/Center
AP127457
TX
Other
Enumeration date
03/06/2015
Last updated
06/24/2016
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