Provider Demographics
NPI:1922696772
Name:MEMFAMMED PLLC
Entity Type:Organization
Organization Name:MEMFAMMED PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FNP-C/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MASHANDA
Authorized Official - Middle Name:ELEAH
Authorized Official - Last Name:MAY
Authorized Official - Suffix:
Authorized Official - Credentials:MSN APRN FNP-C
Authorized Official - Phone:432-704-2700
Mailing Address - Street 1:3403 ANDREWS HWY STE 100
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79703-5132
Mailing Address - Country:US
Mailing Address - Phone:432-704-2700
Mailing Address - Fax:432-704-1250
Practice Address - Street 1:3403 ANDREWS HWY STE 100
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79703-5132
Practice Address - Country:US
Practice Address - Phone:432-704-2700
Practice Address - Fax:432-704-1250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-07
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty