PERMIAN ER III LLC. NPI 1508255886

NPI Information

NPI: 1508255886
Provider Name: PERMIAN ER III, LLC.
Classification: Clinic/Center - 261QE0002X
Specialization: Emergency Care
Entity Type: Organization
Doing Business As: EXCEL ER - ODESSA
CLIA Number: 45D2106794
Address: 6131 EAST HIGHWAY 191
ODESSA, TX
ZIP 79762
Phone: (432) 366-2911

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NPI Details

PERMIAN ER III, LLC. is an emergency care clinic center in Odessa, TX. PERMIAN ER III, LLC. NPI is 1508255886. The provider is registered as an organization entity type.
The provider Is Doing Business As Excel Er - Odessa.

The provider's business location address is:

6131 EAST HIGHWAY 191
ODESSA, TX
ZIP 79762
Phone: (432) 366-2911
Fax: (432) 366-0790

The provider's authorized official is Adam Valainis .
The authorized official title is Owner and has the following contact phone number (432) 366-2911.

The CLIA number assigned to this NPI record is 45D2106794 - other - fser with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 1/9/2015 and was last updated on 8/25/2021.

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	261QE0002X	Clinic/Center	Emergency Care			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	160257	OTHER	TEXAS	TDSHS FEC LICENSE

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: 11/21/2025

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