Organization Active NPI

Family Care Clinic

  • Internal Medicine Physician
  • Midland, TX
National Provider Identifier
1114199353
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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

Updated by the provider on Mar 27, 2008

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0022DDOtherTXBLUE CROSS BLUE SHIELD
5627454OtherTXAETNA

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.