Organization
MIDLAND COMPLETE FAMILY CARE AND ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIO MIGUEL GROSS M.D. (PRESIDENT)
(431) 617-5555
Entity
Organization
Contact information
Practice address
4400 N MIDLAND DR, STE 506A, MIDLAND, TX 79707-3385
(432) 617-5555
(432) 618-5555
Mailing address
4400 N MIDLAND DR, STE 506A, MIDLAND, TX 79707-3385
(432) 617-5555
(432) 618-5555
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
K6596
TX
363AM0700X
Medical Physician Assistant
Primary
PA03268
TX
363AM0700X
Medical Physician Assistant
PA03371
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0027KN
BCBS
TX
01
—
DB9249
RAILROAD MEDICARE
TX
Enumeration date
01/18/2007
Last updated
09/11/2025
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