Provider Type Icon

SENTINEL MEDICAL GROUP PLLC NPI 1689989238


NPI Information

NPI: 1689989238
Provider Name: SENTINEL MEDICAL GROUP PLLC

Doing Business As: THE CLINIC AT GREENTREE

Classification: Physician Assistant - 363AM0700X
Entity Type: Organization

Specialization: Medical

Address:
4706 GREENTREE BLVD
MIDLAND, TX
ZIP 79707
Phone: (432) 218-7862
Get Directions

SENTINEL MEDICAL GROUP PLLC is a medical physician assistant in Midland, TX. SENTINEL MEDICAL GROUP PLLC NPI is 1689989238. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As The Clinic At Greentree.

The provider's business location address is:

4706 GREENTREE BLVD
MIDLAND, TX
ZIP 79707-610
Phone: (432) 218-7862

The provider's authorized official is Jack Kim Willis .
The authorized official title is Managing Member and has the following contact phone number (432) 218-7862.

The enumeration date for this NPI number is 8/6/2010 and was last updated on 9/28/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineE7559TEXASNo
2363AM0700XPhysician AssistantMedicalPA03268TEXASNo
3363LF0000XNurse PractitionerFamily623501TEXASNo
4363AM0700XPhysician AssistantMedicalPA05950TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.