Venegas, Eric J

Venegas, Eric J is an sole proprietor health care provider with primary practice located at 5007 Portico Way , Midland TX 79707. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Venegas, Eric J can be contacted via phone (432) 570-1113.

Contact Information

Primary practice address
5007 Portico Way Midland TX 79707
Phone: (432) 570-1113
Fax: (432) 570-4260
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X K7934 Texas
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X K7934 Texas

Profile Details

NPI number 1760485502
LBN Legal business name Venegas, Eric J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2005
Last updated Jun 12th, 2024 - about 3 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760485502 NPPES
Texas Other 0052GV BLUE CROSS BLUE SHIELD OF TEXAS
Texas Other TH003 BLUE CROSS BLUE SHIELD OF TEXAS
Texas MEDICAID 144105701 BLUE CROSS BLUE SHIELD OF TEXAS

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