Active NPI
Family Care Clinic
- Internal Medicine Physician
- Midland, TX
National Provider Identifier
1114199353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- FAMILY CARE CLINIC
- Practice address
- 4506 Briarwood Ave
Midland, TX 79707-2642 - Phone
- (432) 689-6818
- Fax
- (432) 689-6818
- NPI assigned
- Mar 27, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Rafat Tajwar, BILLING
- Title
- Supervisor
- Phone
- (432) 689-6818
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
4506 Briarwood Ave
Midland, TX 79707-2642
Mailing address
PO Box 9753
Midland, TX 79708-9753
Phone (432) 689-6818
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0022DD | Other | TX | BLUE CROSS BLUE SHIELD |
| 5627454 | Other | TX | AETNA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1206576000000",
"number": "1114199353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9753",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797089753",
"telephone_number": "432-689-6818",
"fax_number": "432-699-0817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4506 BRIARWOOD AVE",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797072642",
"telephone_number": "432-689-6818",
"fax_number": "432-689-6818"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY CARE CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-27",
"last_updated": "2008-03-27",
"status": "A",
"authorized_official_last_name": "TAJWAR",
"authorized_official_first_name": "RAFAT",
"authorized_official_title_or_position": "SUPERVISOR",
"authorized_official_telephone_number": "432-689-6818",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "BILLING"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0022DD",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5627454",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Midland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.