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WEST TEXAS PEDIATRIC SUBSPECIALTY GROUP NPI 1366037319


NPI Information

NPI: 1366037319
Provider Name: WEST TEXAS PEDIATRIC SUBSPECIALTY GROUP
Classification: Pediatrics - 2080P0202X
Entity Type: Organization

Specialization: Pediatric Cardiology

Address:
500 W 4TH ST
ODESSA, TX
ZIP 79761
Phone: (432) 640-1790
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WEST TEXAS PEDIATRIC SUBSPECIALTY GROUP is a pediatric cardiology pediatrics in Odessa, TX. The provider is a pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. WEST TEXAS PEDIATRIC SUBSPECIALTY GROUP NPI is 1366037319. 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) 640-1790

The provider's authorized official is Victor York Levy .
The authorized official title is Ceo and has the following contact phone number (817) 228-3947.

The enumeration date for this NPI number is 3/2/2021 and was last updated on 3/2/2021.


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
1208000000XPediatricsNo
22080N0001XPediatricsNeonatal-Perinatal MedicineNo
32080P0202XPediatricsPediatric CardiologyYes

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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