Bastidas Palacios, Alexander Andres

Bastidas Palacios, Alexander Andres is an individual health care provider with primary practice located at 500 W 4Th St , Odessa TX 79761-5001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. Bastidas Palacios, Alexander Andres can be contacted via phone (432) 640-2401.

Contact Information

Primary practice address
500 W 4Th St Odessa TX 79761-5001
Fax: (432) 640-4606
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X P9805 Texas

Profile Details

NPI number 1437387479
LBN Legal business name Bastidas Palacios, Alexander Andres
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2009
Last updated Apr 6th, 2016 - about 9 years 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 1437387479 NPPES
Texas MEDICAID 339323301

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