PERMIAN BASIN KIDNEY CENTER INC NPI 1285199026

NPI Information

  • NPI: 1285199026
  • Provider Name: PERMIAN BASIN KIDNEY CENTER INC
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Organization
  • Address: 410 N HANCOCK AVE
    ODESSA, TX
    ZIP 79761
  • Phone: (432) 279-0905

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NPI Details

PERMIAN BASIN KIDNEY CENTER INC is a nephrology internal medicine in Odessa, TX. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. PERMIAN BASIN KIDNEY CENTER INC NPI is 1285199026. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

410 N HANCOCK AVE
ODESSA, TX
ZIP 79761-140
Phone: (432) 279-0905
Fax: (432) 279-0904

The provider's authorized official is Anand Reddy .
The authorized official title is Owner and has the following contact phone number (314) 378-7270.

The enumeration date for this NPI number is 2/6/2019 and was last updated on 12/8/2022.

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
1207RN0300XInternal MedicineNephrologyYes

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This page was last updated on: 3/30/2025

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