West Loop Family Medicine

LBN: Joe L Wallace, Mdpa
West Loop Family Medicine is an health care organization with primary practice located at 3001 W University Blvd , Odessa TX 79764-7129. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Joe L Wallace, Mdpa can be contacted via phone (432) 580-5966, or through Wren, Kathy via phone (432) 580-5966.

Contact Information

Primary practice address
3001 W University Blvd Odessa TX 79764-7129
Phone: (432) 580-5966
Fax: (432) 580-7413
Website:
Map and Directions
Authorized official contact:
Name: Wren, Kathy
Phone: (432) 580-5966

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1881784098
LBN Legal business name Joe L Wallace, Mdpa
DBA Doing business as West Loop Family Medicine
Authorized official Wren, Kathy
Entity Organization
Organization subpart 1 No
Enumeration date Oct 16th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1881784098 NPPES
Texas Other 00568R BCBS

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