Individual
DR. ERIC J VENEGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
5007 PORTICO WAY, MIDLAND, TX 79707
(432) 570-1113
(432) 570-4260
Mailing address
5007 PORTICO WAY, MIDLAND, TX 79707-3102
(432) 570-1113
(432) 570-4260
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
K7934
TX
207V00000X
Obstetrics & Gynecology Physician
Primary
K7934
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0052GV
BLUE CROSS BLUE SHIELD OF TEXAS
TX
05
—
144105701
—
TX
01
—
TH003
FIRSTCARE
TX
Enumeration date
05/24/2005
Last updated
06/12/2024
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