Organization
CITY OF MIDLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES HUMPHREYS MD (HEALTH AUTHORITY)
(432) 681-7613
Entity
Organization
Contact information
Practice address
3303 W ILLINOIS, SP 22, MIDLAND, TX 79703
(432) 681-7613
(432) 681-7634
Mailing address
PO BOX 4905, 3303 W ILLINOIS SP 22, MIDLAND, TX 79703
(432) 681-7613
(432) 681-7634
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092166001
—
TX
Enumeration date
12/27/2007
Last updated
01/26/2010
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