MEDICARE: THE ORTHOPEDIC INSTITUTE OF MIDLAND, L.P.

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
1	261QA1903X	Ambulatory Surgical Clinic/Center	008001	TX

General Provider Information

NPI Number	:	1518954809
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE ORTHOPEDIC INSTITUTE OF MIDLAND, L.P.

Provider Business Mailing Address
First Line	:	5609 DEAUVILLE
Second Line	:
City	:	MIDLAND
State	:	TX
Zip	:	79706-2870
Country	:	US
Telephone Number	:	432-699-4224
Fax Number	:	432-699-8110

Provider Business Practice Location Address
First Line	:	5609 DEAUVILLE
Second Line	:
City	:	MIDLAND
State	:	TX
Zip	:	79706-2870
Country	:	US
Telephone Number	:	432-699-4224
Fax Number	:	432-699-8110

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. DONALD W FLOYD
Credential	:	M.D.
Telephone Number	:	432-520-3020

Provider Enumeration Date	:	10/01/2005
Last Update Date	:	08/22/2020

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