ODESSA REPRODUCTIVE MEDICINE CENTER NPI 1477828937

NPI Information

NPI: 1477828937
Provider Name: ODESSA REPRODUCTIVE MEDICINE CENTER

Other Name: MITWALLY FERTILITY CENTER

Classification: Obstetrics & Gynecology - 207VE0102X
Entity Type: Organization

Specialization: Reproductive Endocrinology

Address:
420 E 6TH ST STE 203
ODESSA, TX
ZIP 79761
Phone: (432) 580-4500
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ODESSA REPRODUCTIVE MEDICINE CENTER is a reproductive endocrinology obstetrics gynecology in Odessa, TX. The provider is an obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. ODESSA REPRODUCTIVE MEDICINE CENTER NPI is 1477828937. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Mitwally Fertility Center.

The provider's business location address is:

420 E 6TH ST STE 203
ODESSA, TX
ZIP 79761-572
Phone: (432) 580-4500
Fax: (432) 218-8804

The provider's authorized official is Mohamed Mitwally .
The authorized official title is Medical Director and has the following contact phone number (248) 701-4157.

The enumeration date for this NPI number is 3/16/2012 and was last updated on 5/20/2014.

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
1	207VE0102X	Obstetrics & Gynecology	Reproductive Endocrinology	P0765	TEXAS	Yes

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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