Organization Active NPI

Haedong Medical Group PLLC

  • Urgent Care Clinic/Center
  • Midland, TX
National Provider Identifier
1154763977
Registry record updated Feb 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
HAEDONG MEDICAL GROUP PLLC
Practice address
2304 W Michigan Ave
Midland, TX 79701-5830
Phone
(432) 695-6932
NPI assigned
Jul 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2014

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

Authorized official

Name
Miss Candace D Wynne
Title
Asst.
Phone
(432) 695-6932

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

2304 W Michigan Ave
Midland, TX 79701-5830

Mailing address

PO Box 4143
Midland, TX 79704-4143
Phone (432) 695-6932

Other names 1

  • TXPress Urgent Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393286400000",
    "number": "1154763977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4143",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797044143",
            "telephone_number": "432-695-6932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 W MICHIGAN AVE",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797015830",
            "telephone_number": "432-695-6932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAEDONG MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-22",
        "last_updated": "2014-02-25",
        "status": "A",
        "authorized_official_last_name": "WYNNE",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ASST.",
        "authorized_official_telephone_number": "432-695-6932",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TXPress Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 25, 2014; 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.