Organization
MCH PROFESSIONAL CARE
Active
Other names
MCH ProCare
Organization subpart
No
Provider details
NPI number
Authorized official
ADIEL ALVARADO (PRESIDENT)
(432) 640-2401
Entity
Organization
Contact information
Practice address
8050 E HIGHWAY 191 STE 108, ODESSA, TX 79765-8614
(432) 640-2401
(432) 640-4606
Mailing address
PO BOX 2129, ODESSA, TX 79760-2129
(432) 640-2401
(432) 640-4606
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159279202
—
TX
Enumeration date
04/02/2007
Last updated
05/12/2022
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