NPIMap

Organization Active NPI

Midland Complete Family Care and Associates

  • Medical Physician Assistant
  • Midland, TX
National Provider Identifier
1548312465
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA03268 Issued in TX
Legal business name
MIDLAND COMPLETE FAMILY CARE AND ASSOCIATES
Practice address
4400 N Midland Dr
Ste 506a
Midland, TX 79707-3385
Phone
(432) 617-5555
Fax
(432) 618-5555
NPI assigned
Jan 18, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Mario Miguel Gross, M.D.NPI 1821046178
Title
President
Phone
(431) 617-5555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA03371 TX
Medical Physician Assistant 363AM0700X PA03268 TX Primary
Obstetrics & Gynecology Physician 207V00000X K6596 TX

Addresses

Primary practice location

4400 N Midland Dr
Ste 506a
Midland, TX 79707-3385

Mailing address

4400 N Midland Dr
Ste 506a
Midland, TX 79707-3385
Phone (432) 617-5555

Other identifiers 2

IdentifierTypeStateIssuer
0027KNOtherTXBCBS
DB9249OtherTXRAILROAD MEDICARE

National Provider Directory

National Provider Directory
Tax ID family
Midland Complete Family Care and Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4400 N Midland Dr
Ste 506A
Midland, TX 79707
Phone (432) 520-6490

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1548312465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 N MIDLAND DR",
            "address_2": "STE 506A",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797073385",
            "telephone_number": "432-617-5555",
            "fax_number": "432-618-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 N MIDLAND DR",
            "address_2": "STE 506A",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797073385",
            "telephone_number": "432-617-5555",
            "fax_number": "432-618-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLAND COMPLETE FAMILY CARE AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "MIGUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "431-617-5555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA03371",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA03268",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "K6596",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0027KN",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DB9249",
            "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 Sep 11, 2025; 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.