DWAYNE MACK (NPI# 1710441860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710441860 |
| Entity Type | Individual |
| Full Name | DWAYNE MACK |
| Practice Address |
1912 N Jackson St Midland TX 79705-7823 |
| Practice Telephone | 4322602963 |
| Mailing Telephone | 4322602963 |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2019-01-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| Street Address |
1912 N JACKSON ST |
| City | MIDLAND |
| State | TX |
| Zip Code | 79705-7823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154949915 | Diyora Amanova | Dentist | 2817-b, Loop 250 Frontage Rd, Midland, TX 79705 | 2020-07-08 |
| 1821610205 | Winners Circle Group of Tx | Community/Behavioral Health | 4405 N Garfield Street, Apt. 1005, Midland, TX 79705 | 2020-05-08 |
| 1619523644 | Lillian Moreno | Physician Assistant | 3600 N Garfield St., Midland, TX 79705 | 2019-08-15 |
| 1689229429 | Michelle Ray | Student in an Organized Health Care Education/Training Program | Texas Tech University Health Science Center, 3600 N. Garfield, Midland, TX 79705 | 2019-08-08 |
| 1649825001 | Marlene Cereceres | Student in an Organized Health Care Education/Training Program | 3600 N. Garfield, Midland, TX 79705 | 2019-08-02 |
| 1194370627 | Brianne Marie Hanson | Student in an Organized Health Care Education/Training Program | 3600 North Garfield, Midland, TX 79705 | 2019-08-01 |
| 1841844685 | Stephanie Ann Johnson | Student in an Organized Health Care Education/Training Program | Texas Tech University Health Sciences Center, 3600 N. Garfield, Midland, TX 79705 | 2019-07-30 |
| 1013560093 | Andrea Silva | Licensed Practical Nurse | 2903 Ncr 1140, Midland, TX 79705 | 2019-07-19 |
| 1417509332 | Ananya Das | Physician Assistant | 3600 North Garfield St., Midland, TX 79705 | 2019-07-11 |
| 1023571767 | Wecare Tlc- Pioneer Mco | Clinic/Center | 3617 N Big Sping, Midland, TX 79705 | 2019-04-10 |
| Find all providers in zip 79705 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275162455 | Savanna Nicole Arispe | Technician | 4400 N Holiday Hill Rd Apt 2206, Midland, TX 79707-3030 | 2020-04-08 |
| 1629638556 | Nayla Rodriguez Torres | Technician | 3004 Loma Dr, Midland, TX 79705-5347 | 2019-06-13 |
| 1265906838 | Blanca Estela Fuentes De Robles | Technician | 808 S Madison St, Midland, TX 79701-8376 | 2019-01-17 |
| 1790257905 | Isela Torres | Technician | 4611 Comanche Dr, Midland, TX 79703-6813 | 2018-12-28 |
| 1023519998 | Diana Villalobos | Technician | 6006 E County Road 84, Midland, TX 79706-4530 | 2018-02-26 |
| 1588164503 | Kristi Pritchett | Technician | 2000 Upland St, Midland, TX 79707-6633 | 2018-02-16 |
| 1174072292 | Vedenia R Cochran | Technician | 1195 E Sanford Rd, Midland, MI 48642-9437 | 2016-09-30 |
| 1245506211 | Two Hearts Home Health, LLC | Technician | 1311 W Florida Ave Ste B, Midland, TX 79701-7809 | 2012-03-23 |
| 1235601683 | Corina Rodriguez | Technician | 120 N Eisenhower Dr, Midland, TX 79703-6024 | 2018-12-26 |
| 1215359740 | Ramon Doria | Technician | 4500 W Illinois Ave, # 2-206b, Midland, TX 79703-5491 | 2014-01-17 |
| Find all providers in MIDLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.