WEST TEXAS EXCEL ER PHYSICIANS, PLLC (NPI# 1720535800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720535800 |
Entity Type | Organization |
Organization Name | WEST TEXAS EXCEL ER PHYSICIANS, PLLC |
Practice Address |
6131 E Highway 191 Odessa TX 79762-5348 |
Mailing Address |
Po Box 60962 Corpus Christi TX 78466-0962 |
Practice Telephone | 4323661911 |
Practice Fax Number | 3618841912 |
Mailing Telephone | 3618842904 |
Mailing Fax Number | 3618841912 |
Enumeration Date | 2016-09-06 |
Last Update Date | 2016-09-06 |
Authorized Official Name | CHRISTOPHER KWON (PLLC MEMBER) |
Authorized Official Telephone | 4323661911 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QE0002X |
Clinic/Center Specialization: Emergency Care |
N0192 | TX | Ambulatory Health Care Facilities |
Street Address |
6131 E HIGHWAY 191 |
City | ODESSA |
State | TX |
Zip Code | 79762-5348 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982256798 | Winwood Dental and Orthodontics Pllc | Dentist | 3913 E 42nd Street, Odessa, TX 79762 | 2019-07-11 |
1265995716 | Ryan Daniels | Specialist/Technologist | 4901 E University, Gym 111, Odessa, TX 79762 | 2019-04-11 |
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 |
1508255886 | Permian Er IIi | Clinic/Center | 6131 East Highway 191, Odessa, TX 79762 | 2015-01-09 |
1548675861 | Tina Desai | Dentist | 6109 Texas 191, Odessa, TX 79762 | 2014-06-25 |
Find all providers in zip 79762 |
Taxonomy Code | 261QE0002X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Emergency Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508255886 | Permian Er IIi | Clinic/Center | 6131 East Highway 191, Odessa, TX 79762 | 2015-01-09 |
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1568098119 | Complete Temple Fser Facility LLC | Clinic/Center | 1551 W Central Ave, Temple, TX 76504-4005 | 2020-03-16 |
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1841838901 | Cross Care of North Texas LLC | Clinic/Center | 2401 Willow Oak Dr, Irving, TX 75060-6965 | 2019-12-19 |
1255978722 | Medco Er Carrollton, LLC | Clinic/Center | 2745 E Belt Line Rd, Carrollton, TX 75006-5436 | 2019-12-04 |
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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.