ARCHULETA FAMILY LTD. NPI 1710109350

NPI Information

  • NPI: 1710109350
  • Provider Name: ARCHULETA FAMILY LTD.
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 4241 TANGLEWOOD LANE
    SUITE 102
    ODESSA, TX
    ZIP 79762
  • Phone: (432) 332-1273

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NPI Details

ARCHULETA FAMILY LTD. is a specialist in Odessa, TX. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ARCHULETA FAMILY LTD. NPI is 1710109350. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4241 TANGLEWOOD LANE
SUITE 102
ODESSA, TX
ZIP 79762
Phone: (432) 332-1273
Fax: (432) 367-8687

The provider's authorized official is Lisa Martinez .
The authorized official title is Office Manager and has the following contact phone number (432) 332-1273.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 10/26/2007.

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
1174400000XSpecialistG8798TEXASYes

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
1C14263MEDICARE UPINTEXAS
200801RMEDICARE ID-TYPE UNSPECIFIEDTEXAS

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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