| Compass Pediatrics, Pllc | |
|
6100 Eastridge Rd Odessa TX 79762-5002 | |
| (432) 332-2080 | |
| (866) 298-7237 |
| Full Name | Compass Pediatrics, Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 6100 Eastridge Rd, Odessa, Texas |
| Authorized Official Name and Position | Tamara Rachelle Bavousett (NURSE PRACTITIONER/OWNER) |
| Authorized Official Contact | 4323322080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Compass Pediatrics, Pllc 6100 Eastridge Rd Odessa TX 79762-5002 Ph: (432) 332-2080 | Compass Pediatrics, Pllc 6100 Eastridge Rd Odessa TX 79762-5002 Ph: (432) 332-2080 |
| NPI Number | 1306152103 |
|---|---|
| Provider Enumeration Date | 08/31/2010 |
| Last Update Date | 04/01/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306152103 | NPI | - | NPPES |
| 214730801 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 657564 (Texas) | Primary |
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