MCH PROFESSIONAL CARE RADIOLOGY NPI 1578674974

NPI Information

NPI: 1578674974
Provider Name: MCH PROFESSIONAL CARE RADIOLOGY
Classification: Radiology - 2085R0202X
Specialization: Diagnostic Radiology
Entity Type: Organization
Doing Business As: PROCARE
Address: 500 W 4TH ST
ODESSA, TX
ZIP 79761
Phone: (432) 640-2401

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NPI Details

MCH PROFESSIONAL CARE RADIOLOGY is a diagnostic radiology radiology in Odessa, TX. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. MCH PROFESSIONAL CARE RADIOLOGY NPI is 1578674974. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Procare.

The provider's business location address is:

500 W 4TH ST
ODESSA, TX
ZIP 79761-001
Phone: (432) 640-2401
Fax: (432) 640-1031

The provider's authorized official is Philip Malone .
The authorized official title is Operations Manager and has the following contact phone number (405) 321-8125.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 3/24/2009.

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	2085R0202X	Radiology	Diagnostic Radiology			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	188726701	MEDICAID	TEXAS
2	0069NZ	OTHER	TEXAS	BLUE CROSS BLUE SHIELD
3	00X270	MEDICARE PIN	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: 11/21/2025

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