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PERMIAN WOMEN'S CENTER P.A NPI 1013942861


NPI Information

NPI: 1013942861
Provider Name: PERMIAN WOMEN'S CENTER, P.A
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 45D0943389

Address:
405 N TOM GREEN AVE
ODESSA, TX
ZIP 79761
Phone: (432) 580-9876
Get Directions

PERMIAN WOMEN'S CENTER, P.A is an obstetrics gynecology in Odessa, TX. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. PERMIAN WOMEN'S CENTER, P.A NPI is 1013942861. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

405 N TOM GREEN AVE
ODESSA, TX
ZIP 79761-145
Phone: (432) 580-9876

The provider's authorized official is Pill G. Raja .
The authorized official title is Ceo and has the following contact phone number (432) 580-9876.

The CLIA number assigned to this NPI record is 45D0943389 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 7/11/2006 and was last updated on 6/19/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineK2522TEXASNo
2207V00000XObstetrics & GynecologyK2565TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1080839601MEDICAIDTEXAS
287571FMEDICARE UPINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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