Permian Basin Surgical Assoc

LBN: Guadalupe Valley Surgical Associates Pa
Permian Basin Surgical Assoc is an health care organization with primary practice located at 420 E 6Th St Ste 104 , Odessa TX 79761-4537. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Guadalupe Valley Surgical Associates Pa can be contacted via phone (432) 333-8400, or through Fath, Steven Wade via phone (432) 333-8400.

Contact Information

Primary practice address
420 E 6Th St Ste 104 Odessa TX 79761-4537
Phone: (432) 333-8400
Fax: (432) 333-8401
Website:
Map and Directions
Authorized official contact:
Name: Fath, Steven Wade Doctor of Medicine (MD)
Phone: (432) 333-8400

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X K8144 Texas

Profile Details

NPI number 1114159357
LBN Legal business name Guadalupe Valley Surgical Associates Pa
DBA Doing business as Permian Basin Surgical Assoc
Authorized official Fath, Steven Wade Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 21st, 2009
Last updated Aug 26th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114159357 NPPES
Texas MEDICAID 040430302

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