PERMIAN ER III


Address: 6131 East Highway 191, Odessa, TX 79762
Phone: 4363662911

PERMIAN ER III (NPI# 1508255886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508255886
Entity Type Organization
Organization Name PERMIAN ER III
Other Organization Name EXCEL ER
Practice Address 6131 East Highway 191
Odessa
TX 79762
Practice Telephone 4363662911
Mailing Telephone 4363662911
Mailing Fax Number 4323660790
Enumeration Date 2015-01-09
Last Update Date 2016-06-13
Authorized Official Name CHRISTOPHER KWON (PRESIDENT)
Authorized Official Telephone 4363662911
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QE0002X Clinic/Center
Specialization: Emergency Care
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
TX TDSHS FEC LICENSE 160257 01

Other Provider/Organization Names

Other Name Type Code
Excel ER Doing Business As Name - Organization

Office Location

Street Address 6131 EAST HIGHWAY 191
City ODESSA
State TX
Zip Code 79762

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982256798 Winwood Dental and Orthodontics Pllc Dentist 3913 E 42nd Street, Odessa, TX 79762 2019-07-11
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1215429592 Michael Wayne Samp Respiratory Therapist, Registered 2807 Windsor Dr, Odessa, TX 79762 2018-06-03
1972003663 Kristi Young Registered Nurse 3800 E. 42nd St., Suite 203 Attn: Pediatric Dept, Odessa, TX 79762 2018-02-19
1427508902 Whitney Diakur Optometrist 5011 E. 42nd St, Odessa, TX 79762 2016-10-10
1295184927 Farqad Kamal Abuoudeh Dentist 6109 Tx-191 Frontage, Odessa, TX 79762 2016-06-03
1457714180 Daniel & Max, LLC Optometrist 5011 E. 42nd Street, Odessa, TX 79762 2016-03-31
1407225774 Neri Campos-gardea Massage Therapist 3952 E 42d, Odessa, TX 79762 2015-09-17
1548675861 Tina Desai Dentist 6109 Texas 191, Odessa, TX 79762 2014-06-25
1932534336 Gavyn Thomas Pharmacist 4513 Esmond Drive, Apt 509, Odessa, TX 79762 2013-09-05
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Taxonomy Information

Taxonomy Code 261QE0002X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Emergency Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720535800 West Texas Excel Er Physicians, Pllc Clinic/Center 6131 E Highway 191, Odessa, TX 79762-5348 2016-09-06

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1366056194 Er of Texas Little Elm LLC Clinic/Center 2800 Little Elm Pkwy, Little Elm, TX 75068-6650 2020-08-31
1740892801 Satx Emergency Physicians Pllc Clinic/Center 8721 Menchaca Rd, Austin, TX 78748-5308 2020-08-20
1568098119 Complete Temple Fser Facility LLC Clinic/Center 1551 W Central Ave, Temple, TX 76504-4005 2020-03-16
1770118879 Exceptional Healthcare Tyler LLC Clinic/Center 2222 E Southeast Loop 323, Tyler, TX 75701-8320 2020-03-09
1841838901 Cross Care of North Texas LLC Clinic/Center 2401 Willow Oak Dr, Irving, TX 75060-6965 2019-12-19
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Competitor

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City ODESSA
Zip Code 79762

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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