Organization Active NPI

Midessa Integrative Medicine

  • Internal Medicine Physician
  • Midland, TX
National Provider Identifier
1124586862
Registry record updated Mar 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MIDESSA INTEGRATIVE MEDICINE
Practice address
4311 Andrew Hwy
B
Midland, TX 79703-4823
Phone
(877) 935-7916
NPI assigned
Mar 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael Joseph Perez
Title
Owner
Phone
(877) 935-7916

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

4311 Andrew Hwy
B
Midland, TX 79703-4823

Mailing address

4311 Andrews Hwy # B
Midland, TX 79703-4823
Phone (877) 935-7916

National Provider Directory

National Provider Directory

Locations

4311 Andrews Hwy
#B
Midland, TX 79703
Phone (877) 935-7916

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552348800000",
    "number": "1124586862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4311 ANDREWS HWY # B",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797034823",
            "telephone_number": "877-935-7916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4311 ANDREW HWY",
            "address_2": "B",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797034823",
            "telephone_number": "877-935-7916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDESSA INTEGRATIVE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-12",
        "last_updated": "2019-03-12",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "877-935-7916"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 12, 2019; 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.