Organization
PERMIAN NEPHROLOGY ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA A BERNAL RHIT, RMA (OFFICE MANAGER)
(432) 522-2304
Entity
Organization
Contact information
Practice address
3302 W GOLF COURSE RD, SUITE 100, MIDLAND, TX 79703-5110
(432) 522-2304
(432) 522-2307
Mailing address
P O BOX 80279, MIDLAND, TX 79708-0279
(432) 522-2304
(432) 522-2307
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
F1867
TX
207RN0300X
Nephrology Physician
G5429
TX
363LF0000X
Family Nurse Practitioner
630161
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0847352-02
—
TX
05
—
084735202
—
TX
01
—
CN3681
RAILROAD MEDICARE
—
Enumeration date
08/18/2006
Last updated
02/24/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us