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TOMMY L. POOL II NPI 1891205217


NPI Information

NPI: 1891205217
Provider Name: TOMMY L. POOL, II

Doing Business As: HOLISTIC WELLNESS INSTITUTE

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1205 W UNIVERSITY BLVD
ODESSA, TX
ZIP 79764
Phone: (432) 653-4981
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TOMMY L. POOL, II is a mental health (including community mental health center) clinic center in Odessa, TX. TOMMY L. POOL, II NPI is 1891205217. The provider is registered as an organization entity type.
The provider Is Doing Business As Holistic Wellness Institute.

The provider's business location address is:

1205 W UNIVERSITY BLVD
ODESSA, TX
ZIP 79764-119
Phone: (432) 653-4981
Fax: (877) 614-6254

The provider's authorized official is Tommy L. Pool .
The authorized official title is Clinical Director and has the following contact phone number (432) 653-4981.

The enumeration date for this NPI number is 10/11/2017 and was last updated on 6/16/2018.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)65821TEXASYes

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
110857OTHERTEXASTEXAS DEPARTMENT OF STATE HEALTH SERVICES

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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