Stonehaven Medical Group, PLLC
Family Medicine in Midland, TX. Organization (NPI-2).
NPI number1982202263
StatusActive
Last updated in NPPESMay 5, 2022
Details
- NPI
- 1982202263
- Entity type
- Organization (NPI-2)
- Legal business name
- Stonehaven Medical Group, PLLC
- Organization subpart
- No
- Enumeration date
- Oct 9, 2020
- Certification date
- May 5, 2022
- Last updated
- May 5, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
4519 N Garfield St Ste 1Midland, TX 79705-3400
Phone 432-219-9200 · Fax 432-218-7879
Mailing address
4416 Briarwood Ave # 110-87Midland, TX 79707-2615
Phone 432-219-9200 · Fax 432-218-7879
Authorized official
Rickey W Hamby
MD/Owner
4322199200
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