TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER ODESSA NPI 1407845084

NPI Information

NPI: 1407845084
Provider Name: TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER ODESSA
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
701 W 5TH ST
ODESSA, TX
ZIP 79763
Phone: (432) 335-2222
Get Directions

TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER ODESSA is a family medicine in Odessa, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER ODESSA NPI is 1407845084. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

701 W 5TH ST
ODESSA, TX
ZIP 79763-206
Phone: (432) 335-2222

The provider's authorized official is Jocelyn Piccone .
The authorized official title is Executive Associate Dean and has the following contact phone number (432) 620-1036.

The enumeration date for this NPI number is 10/17/2005 and was last updated on 8/9/2017.

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	Primary
1	207R00000X	Internal Medicine	No
2	207V00000X	Obstetrics & Gynecology	No
3	208000000X	Pediatrics	No
4	208600000X	Surgery	No
5	332B00000X	Durable Medical Equipment & Medical Supplies	No
6	207Q00000X	Family Medicine	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	00CT19	MEDICARE ID-TYPE UNSPECIFIED	TEXAS	OBGYN
2	081939301	MEDICAID	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: 5/5/2024

NPI Synchronization or Removal

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