PREMIER DIAGNOSTIC IMAGING INC NPI 1063142750

NPI Information

  • NPI: 1063142750
  • Provider Name: PREMIER DIAGNOSTIC IMAGING INC
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Organization
  • Doing Business As: PREMIER DIAGNOSTIC IMAGING INC
  • Address: 850 TOWER DR STE 111
    ODESSA, TX
    ZIP 79761
  • Phone: (432) 888-4886

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NPI Details

PREMIER DIAGNOSTIC IMAGING INC 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. PREMIER DIAGNOSTIC IMAGING INC NPI is 1063142750. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Premier Diagnostic Imaging Inc.

The provider's business location address is:

850 TOWER DR STE 111
ODESSA, TX
ZIP 79761-252
Phone: (432) 888-4886

The provider's authorized official is Natausha Glidwell .
The authorized official title is Owner and has the following contact phone number (432) 438-1322.

The enumeration date for this NPI number is 6/15/2022 and was last updated on 5/7/2024.

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
1207V00000XObstetrics & GynecologyYes

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: 3/30/2025

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