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NPI Code Detail

MEDICARE: MIDLAND SURGICAL ASSOCIATES, P.A.

MEDICARE: MIDLAND SURGICAL ASSOCIATES, P.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12086S0127XTrauma Surgery Physician
22086S0129XVascular Surgery Physician
3208600000XSurgery Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CN7004OTHERTXMEDICARE RAILROAD GROUP
400042FOTHERTXMEDICARE GROUP PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
20087CGOTHERTXBLUE CROSS GROUP NUMBER
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356452668
Entity Type Code : Organization
Provider Name (Legal Business Name) : MIDLAND SURGICAL ASSOCIATES, P.A.
Provider Business Mailing Address
First Line : 2405 W MISSOURI AVE
Second Line :
City : MIDLAND
State : TX
Zip : 79701-6800
Country : US
Telephone Number : 432-697-1061
Fax Number : 432-697-7089
Provider Business Practice Location Address
First Line : 2405 W MISSOURI AVE
Second Line :
City : MIDLAND
State : TX
Zip : 79701-6800
Country : US
Telephone Number : 432-697-1061
Fax Number : 432-697-7089
Authorized Official
Title or Position : PARTNER
Name : SANDEEPA MUSUNURU
Credential : MD
Telephone Number : 432-697-1061
Provider Enumeration Date : 08/31/2006
Last Update Date : 03/13/2023

Similar Medicare Providers

1891724498 — DR. SHELTON VINEY MD
Practice Location Address:
2405 W MISSOURI AVE
MIDLAND, TX
79701-6800
Practice Phone: 432-697-1061
Practice Fax: 432-697-7089
1710942917 — DR. SANDEEPA MUSUNURU M.D.
Practice Location Address:
2405 W MISSOURI AVE
MIDLAND, TX
79701-6800
Practice Phone: 432-697-1061
Practice Fax: 432-697-7089
1497708291 — DR. DONALD EDWIN CROCKETT JR. MD
Practice Location Address:
2405 W MISSOURI AVE
MIDLAND, TX
79701-6800
Practice Phone: 432-697-1061
Practice Fax: 432-697-7089
1477698108 — BART R MAYRON MD
Practice Location Address:
2405 W MISSOURI AVE
MIDLAND, TX
79701-6800
Practice Phone: 432-683-2723
Practice Fax: 432-683-4907
1760527139 — PERMIAN CARDIOLOGY ASSOCIATES
Practice Location Address:
2405 W MISSOURI AVE
MIDLAND, TX
79701-6800
Practice Phone: 432-683-2723
Practice Fax: 432-683-4907
1942414982 — DR. DANIEL R COPELAND M.D.
Practice Location Address:
2405 W MISSOURI AVE
MIDLAND, TX
79701-6800
Practice Phone: 432-697-1061
Practice Fax: 432-697-7089

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