Healthcare Provider Details

I. General information

NPI: 1306167309
Provider Name (Legal Business Name): MAUNG K HLAING M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2010
Last Update Date: 07/26/2022
Certification Date: 10/15/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 ROSALIND REDFERN GROVER PKWY
MIDLAND TX
79701-5846
US

IV. Provider business mailing address

4214 ANDREWS HWY STE 240
MIDLAND TX
79703-4817
US

V. Phone/Fax

Practice location:
  • Phone: 432-221-1111
  • Fax:
Mailing address:
  • Phone: 432-686-6605
  • Fax: 432-682-2284

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberP7463
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: