| Plum Llc | |
|
807 Tradewinds Blvd Midland TX 79706-3163 | |
| (432) 288-8482 | |
| Not Available |
| Full Name | Plum Llc |
|---|---|
| Speciality | Pediatrics |
| Location | 807 Tradewinds Blvd, Midland, Texas |
| Authorized Official Name and Position | Amanda Jo Hughes (NURSE PRACTITIONER) |
| Authorized Official Contact | 4322888482 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Plum Llc 4320 Wood Dr Midland TX 79707-1904 Ph: (432) 288-8482 | Plum Llc 807 Tradewinds Blvd Midland TX 79706-3163 Ph: (432) 288-8482 |
| NPI Number | 1114675253 |
|---|---|
| Provider Enumeration Date | 03/17/2022 |
| Last Update Date | 07/15/2022 |
| Medicare PECOS PAC ID | 4486034212 |
|---|---|
| Medicare Enrollment ID | O20220711000859 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114675253 | NPI | - | NPPES |
| Provider Name | Amanda Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912323106 PECOS PAC ID: 7416215728 Enrollment ID: I20171214002958 |
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