Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 8981 | TX |
Y | 213EG0000X | General Practice | 8981 | TX |
NPI | 1003030545 |
---|---|
Provider Name | David A Midkiff |
First Address | Lubbock, TX 79424-4207 |
Second Address | Lubbock, TX 79413-5741 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2007 |
Last Update Date | 08/07/2007 |