| Permian Pulmonary, P.a. | |
|
500 N Washington Ave Ste 100 Odessa TX 79761-4441 | |
| (432) 580-9444 | |
| (432) 580-9555 |
| Full Name | Permian Pulmonary, P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 500 N Washington Ave Ste 100, Odessa, Texas |
| Authorized Official Name and Position | Joel L. Adams (PRESIDENT/OWNER) |
| Authorized Official Contact | 4325809444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Permian Pulmonary, P.a. 500 N Washington Ave Ste 100 Odessa TX 79761-4441 Ph: (432) 580-9444 | Permian Pulmonary, P.a. 500 N Washington Ave Ste 100 Odessa TX 79761-4441 Ph: (432) 580-9444 |
| NPI Number | 1457537185 |
|---|---|
| Provider Enumeration Date | 01/11/2008 |
| Last Update Date | 03/16/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457537185 | NPI | - | NPPES |
| 864268 INDIV | Other | TX | MEDICARE INDIV |
| A87096 | Other | TX | UPIN INDIV |
| 8G6240 | Other | TX | BCBS INDIV |
| 134105908 INDIV | Other | TX | MEDICAID INDIV |
| 290015259 | Other | TX | RAILROAD MEDICARE |
| 45D 1005326 | Other | TX | CLIA |
| 45JF | Other | TX | BCBS GROUP |
| 154126001 GROUP TPI | Medicaid | TX | |
| 00899T | Other | TX | MEDICARE GROUP# (PTAN) |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D0770 (Texas) | Primary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | D0770 (Texas) | Secondary |
John H. Doran,m.d., P.l.lc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 Dotsy Ave, Odessa, TX 79763 Phone: 432-333-3295 Fax: 432-333-8840 | |
Permian Women's Center, P.a Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 405 N Tom Green Ave, Odessa, TX 79761 Phone: 432-580-9876 | |
Sing Dy Uy,md Clinic Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2461-a East 11th St, Odessa, TX 79761 Phone: 432-334-8845 Fax: 432-334-8875 | |
University Prompt Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2651 Kermit Hwy, Odessa, TX 79763 Phone: 432-333-3637 | |
Scotty Ortega Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4415 Hinkle St, Odessa, TX 79762 Phone: 432-940-3240 | |
Ahmed Hassan, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 E 6th St, Odessa, TX 79761 Phone: 325-763-8473 | |
Permian Internal Medicine Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 601 E 2nd Suite A, Odessa, TX 79761 Phone: 432-332-3400 Fax: 432-332-6500 |