SERC OF ODESSA INC; NPI #1699001164

Contact Information

SERC OF ODESSA INC

211 N 2ND ST
ODESSA, MO 64076-1135

Phone: 816-633-4063
Fax: 816-633-4264
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Hand	2251H1200X	65	Physical Therapist in Private Practice

Indicates primary specialty

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NPI Profile & details for SERC OF ODESSA INC

NPI # 1699001164

LBN Legal business name SERC OF ODESSA INC

Authorized official DAVID DOWDY - (CLINIC DIRECTOR/AREA DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/19/2009

Last updated 11/02/2012 - About 14 years ago

Identifiers

MO	License #	2002006834
MO	Other	34362045	BCBS

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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SERC OF ODESSA INC

Contact Information

Specialty

Hand

NPI Profile & details for SERC OF ODESSA INC

Reviews for SERC OF ODESSA INC