Organization
MIDLAND COMMUNITY HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL AUSTIN PHD (CEO)
(432) 570-0238
Entity
Organization
Contact information
Practice address
4214 ANDREWS HWY STE 310, MIDLAND, TX 79703-4822
(432) 697-4747
(432) 699-3813
Mailing address
PO BOX 5576, MIDLAND, TX 79704-5576
(432) 570-0238
(432) 699-3815
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0090KV
BLUE CROSS BLUE SHIELD
TX
05
—
165581301
—
TX
05
—
165581305
—
TX
05
—
165581306
—
TX
05
—
169875501
—
TX
01
—
830358635
COMM INSURANCE
TX
Enumeration date
09/21/2006
Last updated
06/03/2021
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