West Texas Diabetes And Endocrine Center Pa

LBN: West Texas Diabetes And Endocrine Center Pa
West Texas Diabetes And Endocrine Center Pa is an health care organization with primary practice located at 318 N Alleghaney Ave Ste 201 , Odessa TX 79761-5027. The organization recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Adult Medicine is the primary health care specialty. West Texas Diabetes And Endocrine Center Pa can be contacted via phone (432) 332-1144, or through Agusala, Muralidhar via phone (432) 332-1144.

Contact Information

Primary practice address
318 N Alleghaney Ave Ste 201 Odessa TX 79761-5027
Phone: (432) 332-1144
Fax: (432) 337-2726
Website:
Map and Directions
Authorized official contact:
Name: Agusala, Muralidhar
Phone: (432) 332-1144

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X K6230 Texas
Other Service Providers / Specialist 174400000X K6228 Texas
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X K3962 Texas
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X J1178 Texas

Profile Details

NPI number 1891900080
LBN Legal business name West Texas Diabetes And Endocrine Center Pa
DBA Doing business as
Authorized official Agusala, Muralidhar
Entity Organization
Organization subpart 1 Yes
Enumeration date May 11th, 2007
Last updated Jan 11th, 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 1891900080 NPPES
Texas MEDICAID 030349701
Texas MEDICAID 126502701
Texas MEDICAID 080422101

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