Organization
MMH PHYSICIANS
Active
Other names
MIDLAND INPATIENT MEDICAL ASSOCIATES, MIMA
Organization subpart
No
Provider details
NPI number
Authorized official
CANDACE WYNNE (CREDENTIALING)
(432) 686-6605
Entity
Organization
Contact information
Practice address
400 ROSALIND REDFERN GROVER PKWY, MIDLAND, TX 79701-5846
(432) 221-1111
Mailing address
4214 ANDREWS HWY, SUITE 240, MIDLAND, TX 79703-4822
(432) 686-6600
(432) 682-2284
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1027791
STATE LICENSE
TX
Enumeration date
11/11/2015
Last updated
03/04/2022
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