RENAL CENTER OF MIDLAND-ODESSA LP LLLP NPI 1952413007

NPI Information

NPI: 1952413007
Provider Name: RENAL CENTER OF MIDLAND-ODESSA, LP, LLLP
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
4241 TANGLEWOOD
SUITE 104
ODESSA, TX
ZIP 79762
Phone: (432) 366-3940
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RENAL CENTER OF MIDLAND-ODESSA, LP, LLLP is an end-stage renal disease (esrd) treatment clinic center in Odessa, TX. RENAL CENTER OF MIDLAND-ODESSA, LP, LLLP NPI is 1952413007. The provider is registered as an organization entity type.

The provider's business location address is:

4241 TANGLEWOOD
SUITE 104
ODESSA, TX
ZIP 79762-988
Phone: (432) 366-3940
Fax: (432) 336-6393

The provider's authorized official is Richard L Chatfield .
The authorized official title is Chief Executive Officer and has the following contact phone number (303) 384-4090.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 3/25/2008.

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
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment	008267	TEXAS	Yes

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
1	672528	MEDICARE OSCAR/CERTIFICATION	TEXAS

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

NPI Synchronization or Removal

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