Organization
MIDLAND EMERGENCY MANAGEMENT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE WILSON MD (OWNER)
(432) 685-1558
Entity
Organization
Contact information
Practice address
2200 W ILLINOIS AVE, MIDLAND, TX 79701-6407
(432) 685-1111
Mailing address
9301 S WESTERN AVE, OKLAHOMA CITY, OK 73139-2767
(866) 321-8433
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
TX
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
169860701
—
TX
Enumeration date
08/24/2005
Last updated
09/20/2012
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