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ODESSA ACUTE TRAUMA PLLC NPI 1982943726


NPI Information

NPI: 1982943726
Provider Name: ODESSA ACUTE TRAUMA PLLC
Classification: Surgery - 2086S0127X
Entity Type: Organization

Specialization: Trauma Surgery

Address:
500 W 4TH ST
ODESSA, TX
ZIP 79761
Phone: (432) 332-7500
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ODESSA ACUTE TRAUMA PLLC is a trauma surgery surgery in Odessa, TX. The provider is trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. ODESSA ACUTE TRAUMA PLLC NPI is 1982943726. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

500 W 4TH ST
ODESSA, TX
ZIP 79761-001
Phone: (432) 332-7500
Fax: (432) 332-7503

The provider's authorized official is William Jernberg .
The authorized official title is Enrollment and has the following contact phone number (469) 401-2386.

The enumeration date for this NPI number is 2/13/2013 and was last updated on 1/24/2014.


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
1208600000XSurgeryNo
22086S0127XSurgeryTrauma SurgeryYes

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: 5/5/2024

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