Permian Endoscopy Center in Odessa - Ambulatory Surgical

Permian Endoscopy Center - NPI 1679686505

Permian Endoscopy Center is a Ambulatory Surgical in Odessa, Texas. Permian Endoscopy Center practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Permian Endoscopy Center is 1679686505. The last update date is 2007-09-17.

Permian Endoscopy Center's current location address is 315 E 5th St, Odessa, Texas. You can contact this provider via phone number 4323358300 and fax number 4323358330. The mailing address for Permian Endoscopy Center is 315 E 5th St, Odessa, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Permian Endoscopy Center
Address 315 E 5th St, Odessa, Texas
Phone Number 4323358300
Fax Number 4323358330
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Vemuru Ravi
Credentials M.D.
Telephone Number 4323358300

NPI Number Detail

NPI Number 1679686505
Provider Enumeration Date 2006-08-16
Last Updated Date 2007-09-17

Provider Mailing Address Detail

Address 315 E 5th St
City Odessa
State Texas (TX)
Post Code 797615133
Phone Number 4323358300
Fax Number 4323358330

Provider's Primary Taxonomy Detail

Speciality Ambulatory Surgical
Taxonomy 261Qa1903X
Definition:
Provides outpatient surgical services not requiring hospitalization.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P00081819 TX RAILROAD MEDICARE
HH1599 TX BCBS

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FAQs about Permian Endoscopy Center

What is the unique 10-digit identification code assigned to Permian Endoscopy Center by the Centers for Medicare & Medicaid Services?

The Permian Endoscopy Center has been issued the NPI (National Provider Identifier) 1679686505, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Where is the Permian Endoscopy Center located?

The Permian Endoscopy Center is located at 315 E 5Th St, Odessa, TX 797615133.

What is the area of specialization for Permian Endoscopy Center, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Permian Endoscopy Center is Ambulatory Surgical, and the corresponding taxonomy code that categorizes this area of expertise is 261Qa1903X.

On what date did the Centers for Medicare & Medicaid Services assign the 1679686505 to Permian Endoscopy Center?

The Centers for Medicare & Medicaid Services assigned the 1679686505 to Permian Endoscopy Center on 2006-08-16.

As of what date were the Permian Endoscopy Center's details last updated?

The information pertaining to the Permian Endoscopy Center, including its address, specialty, and other details, was most recently updated on 2007-09-17.

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