Healthcare Provider Details

I. General information

NPI: 1568043735
Provider Name (Legal Business Name): OGEDA URGENT CARE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2021
Last Update Date: 04/19/2021
Certification Date: 04/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2304 W MICHIGAN AVE
MIDLAND TX
79701-5830
US

IV. Provider business mailing address

8201 DUNBLANE DR
MIDLAND TX
79707-1371
US

V. Phone/Fax

Practice location:
  • Phone: 432-695-6932
  • Fax:
Mailing address:
  • Phone: 806-201-3038
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. FIDEL OGEDA
Title or Position: OWNER/MEDICAL DIRECTOR
Credential: MD
Phone: 806-201-3038