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ODYSSEY HEALTH CARE NPI 1760571962


NPI Information

NPI: 1760571962
Provider Name: ODYSSEY HEALTH CARE

Other Name: WBAMC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
5005 N PIEDRAS ST
EL PASO, TX
ZIP 79920
Phone: (915) 569-2400
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ODYSSEY HEALTH CARE is a family medicine in El Paso, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ODYSSEY HEALTH CARE NPI is 1760571962. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Wbamc.

The provider's business location address is:

5005 N PIEDRAS ST
EL PASO, TX
ZIP 79920-001
Phone: (915) 569-2400
Fax: (915) 569-1960

The provider's authorized official is Jessica Kleberg .
The authorized official title is Svp Of Legal And Compliance and has the following contact phone number (704) 664-2876.

The enumeration date for this NPI number is 10/12/2006 and was last updated on 11/20/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineK6689TEXASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1001003376MEDICAIDTEXAS

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: 4/28/2024

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