| Permian Women's Center, P.a | |
|
405 N Tom Green Ave Odessa TX 79761-5145 | |
| (432) 580-9876 | |
| Not Available |
| Full Name | Permian Women's Center, P.a |
|---|---|
| Speciality | Obstetrics & Gynecology |
| Location | 405 N Tom Green Ave, Odessa, Texas |
| Authorized Official Name and Position | Pill G. Raja (CEO) |
| Authorized Official Contact | 4325809876 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Permian Women's Center, P.a 405 N Tom Green Ave Odessa TX 79761-5145 Ph: (432) 580-9876 | Permian Women's Center, P.a 405 N Tom Green Ave Odessa TX 79761-5145 Ph: (432) 580-9876 |
| NPI Number | 1013942861 |
|---|---|
| Provider Enumeration Date | 07/11/2006 |
| Last Update Date | 06/19/2008 |
| Medicare PECOS PAC ID | 3274510243 |
|---|---|
| Medicare Enrollment ID | O20040707000946 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013942861 | NPI | - | NPPES |
| 080839601 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | K2522 (Texas) | Secondary |
| 207V00000X | Obstetrics & Gynecology | K2565 (Texas) | Primary |
| Provider Name | Lynnette J Carrens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386603207 PECOS PAC ID: 5698730067 Enrollment ID: I20041124000531 |
| Provider Name | Pill Raja |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518927656 PECOS PAC ID: 1456261957 Enrollment ID: I20120531000274 |
| Provider Name | Usha R. Kurra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689633075 PECOS PAC ID: 7810807310 Enrollment ID: I20121017000877 |
| Provider Name | Leela S Pillarisetty |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235484114 PECOS PAC ID: 1052601481 Enrollment ID: I20160801001872 |
| Provider Name | Evelyn Hernandez Catungal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205477908 PECOS PAC ID: 5991118028 Enrollment ID: I20210111002423 |
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 | |
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 |