Provider Demographics
NPI:1518954809
Name:THE ORTHOPEDIC INSTITUTE OF MIDLAND, L.P.
Entity Type:Organization
Organization Name:THE ORTHOPEDIC INSTITUTE OF MIDLAND, L.P.
Other - Org Name:TEXAS SURGICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:W
Authorized Official - Last Name:FLOYD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:432-520-3020
Mailing Address - Street 1:5609 DEAUVILLE
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79706-2870
Mailing Address - Country:US
Mailing Address - Phone:432-699-4224
Mailing Address - Fax:432-699-8110
Practice Address - Street 1:5609 DEAUVILLE
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79706-2870
Practice Address - Country:US
Practice Address - Phone:432-699-4224
Practice Address - Fax:432-699-8110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008001261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXASC202Medicare ID - Type Unspecified