Organization Active NPI

Midland Minor PA

Doing business as First Care

  • Primary Care Clinic/Center
  • Midland, TX
National Provider Identifier
1194852400
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MIDLAND MINOR PA
Doing business as
First Care
Practice address
2310 W Ohio Ave
Midland, TX 79701-5844
Phone
(432) 686-9708
Fax
(432) 686-0543
NPI assigned
Feb 27, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
David Charles Terrier
Title
Manager
Phone
(432) 686-9708

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

2310 W Ohio Ave
Midland, TX 79701-5844

Mailing address

2310 W Ohio Ave
Midland, TX 79701-5844
Phone (432) 686-9708

Other identifiers 3

IdentifierTypeStateIssuer
889272OtherTXBCBS ID
G8562OtherTXDR KINZIE MEDICAL LIC
MDG8562OtherTXWORK COMP ID

Other names 1

  • First Care Doing business as

National Provider Directory

National Provider Directory

Locations

2310 W Ohio Ave
Midland, TX 79701
Phone (432) 686-9708

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194852400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 W OHIO AVE",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797015844",
            "telephone_number": "432-686-9708",
            "fax_number": "432-686-0543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 W OHIO AVE",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797015844",
            "telephone_number": "432-686-9708",
            "fax_number": "432-686-0543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLAND MINOR PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TERRIER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "432-686-9708"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID",
            "identifier": "889272",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR KINZIE MEDICAL LIC",
            "identifier": "G8562",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORK COMP ID",
            "identifier": "MDG8562",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First 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 Aug 22, 2020; 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.