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Contact Information

PERMIAN PEDIATRICS PA
303 E 7TH ST
ODESSA, TX79761
 Phone: 432-582-2929
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for PERMIAN PEDIATRICS PA

NPI Number 1679022610
LBN Legal business name PERMIAN PEDIATRICS PA
Authorized official EDDY BELLO - (PRACTICE ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/03/2016
Last updated 05/16/2018 - About 8 years ago
Identifiers
TX Medicaid 367176001
TX Medicaid 367176002
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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