Texas Tech University Health Sciences Center Odessa | |
701 W 5th St Odessa TX 79763-4206 | |
(432) 335-2222 | |
Not Available |
Full Name | Texas Tech University Health Sciences Center Odessa |
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Speciality | Family Medicine |
Location | 701 W 5th St, Odessa, Texas |
Authorized Official Name and Position | Jocelyn Piccone (EXECUTIVE ASSOCIATE DEAN) |
Authorized Official Contact | 4326201036 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Texas Tech University Health Sciences Center Odessa 701 W 5th St Odessa TX 79763-4206 Ph: (432) 703-5004 | Texas Tech University Health Sciences Center Odessa 701 W 5th St Odessa TX 79763-4206 Ph: (432) 335-2222 |
NPI Number | 1407845084 |
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Provider Enumeration Date | 10/17/2005 |
Last Update Date | 08/09/2017 |
Medicare PECOS PAC ID | 8426044256 |
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Medicare Enrollment ID | O20040607001561 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407845084 | NPI | - | NPPES |
081939301 | Medicaid | TX |
Provider Name | Gregory W Bartha |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1205939212 PECOS PAC ID: 0749193993 Enrollment ID: I20031112000537 |
Provider Name | Christopher G Maguire |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1053400168 PECOS PAC ID: 3274529060 Enrollment ID: I20040426000795 |
Provider Name | James W Van Riper |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1467446484 PECOS PAC ID: 8022004910 Enrollment ID: I20040426000871 |
Provider Name | James William Huston |
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Provider Type | Practitioner - Hospice/palliative Care |
Provider Identifiers | NPI Number: 1346329786 PECOS PAC ID: 6204811797 Enrollment ID: I20040621000032 |
Provider Name | Merry B Hart |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1962466128 PECOS PAC ID: 4183683337 Enrollment ID: I20041005000356 |
Provider Name | Timothy Benton |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1518999671 PECOS PAC ID: 2668420753 Enrollment ID: I20050105000657 |
Provider Name | Chau Le |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124153390 PECOS PAC ID: 4688604424 Enrollment ID: I20050822000283 |
Provider Name | Lavi Oud |
---|---|
Provider Type | Practitioner - Critical Care (intensivists) |
Provider Identifiers | NPI Number: 1588794424 PECOS PAC ID: 3072544220 Enrollment ID: I20050826000608 |
Provider Name | Elisa L Brown |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1811086986 PECOS PAC ID: 6002885076 Enrollment ID: I20050901000401 |
Provider Name | Joseph Shayeb |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1528049590 PECOS PAC ID: 2264465277 Enrollment ID: I20050912000222 |
Provider Name | Shailesh Jain |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1215922802 PECOS PAC ID: 0143244764 Enrollment ID: I20060123000618 |
Provider Name | Claude Allen Stringer |
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Provider Type | Practitioner - Gynecological Oncology |
Provider Identifiers | NPI Number: 1356383343 PECOS PAC ID: 3577574318 Enrollment ID: I20060509000168 |
Provider Name | Carolyn Michelle Matthews |
---|---|
Provider Type | Practitioner - Gynecological Oncology |
Provider Identifiers | NPI Number: 1649213158 PECOS PAC ID: 1557372398 Enrollment ID: I20060509000193 |
Provider Name | Ramachandra Rahul Vachan Chemitiganti |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1689610164 PECOS PAC ID: 2860594660 Enrollment ID: I20070226000335 |
Provider Name | Craig W Spellman |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1174587935 PECOS PAC ID: 8729172168 Enrollment ID: I20070917000382 |
Provider Name | Adrian N Billings |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1205878329 PECOS PAC ID: 4880781749 Enrollment ID: I20071025000102 |
Provider Name | Liliana Andrade |
---|---|
Provider Type | Practitioner - Geriatric Medicine |
Provider Identifiers | NPI Number: 1285838870 PECOS PAC ID: 7113092537 Enrollment ID: I20080820000300 |
Provider Name | Faye G Armstrong-paap |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1487668489 PECOS PAC ID: 1951324581 Enrollment ID: I20081015000334 |
Provider Name | Vani Selvan |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1689869117 PECOS PAC ID: 0345305280 Enrollment ID: I20090210000427 |
Provider Name | Graciela C Flores |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699913772 PECOS PAC ID: 8022167840 Enrollment ID: I20090527000099 |
Provider Name | Cornelia S De Riese |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1841280716 PECOS PAC ID: 3971656109 Enrollment ID: I20090805000163 |
Provider Name | Deborah R Hajovsky |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1508822511 PECOS PAC ID: 4688713951 Enrollment ID: I20091125000457 |
Provider Name | Stephanie L Moses |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1306090071 PECOS PAC ID: 6305985151 Enrollment ID: I20091208000301 |
Provider Name | David Davison |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1548289275 PECOS PAC ID: 3870403371 Enrollment ID: I20100224000950 |
Provider Name | Robert S Viney |
---|---|
Provider Type | Practitioner - Vascular Surgery |
Provider Identifiers | NPI Number: 1891724498 PECOS PAC ID: 0648364414 Enrollment ID: I20100728000910 |
Provider Name | David S Libson |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1558368324 PECOS PAC ID: 4789708066 Enrollment ID: I20100824000956 |
Provider Name | James K Burks |
---|---|
Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1093803942 PECOS PAC ID: 8426242520 Enrollment ID: I20101103000143 |
Provider Name | Robert E Bennett |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1669569596 PECOS PAC ID: 6800072745 Enrollment ID: I20110511000114 |
Provider Name | Marenda Dent |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1821121112 PECOS PAC ID: 8527149764 Enrollment ID: I20110727000369 |
Provider Name | Lee D Moore |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1861648248 PECOS PAC ID: 4284803651 Enrollment ID: I20110802000290 |
Provider Name | Tara Y Deaver |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1548207731 PECOS PAC ID: 7618148016 Enrollment ID: I20110915000121 |
Provider Name | Nancy L Beck |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1124205513 PECOS PAC ID: 9638351752 Enrollment ID: I20120710000590 |
Provider Name | Christopher A Enakpene |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1073776977 PECOS PAC ID: 2668628009 Enrollment ID: I20120817000179 |
Provider Name | Ikemefuna Okwuwa |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1720212608 PECOS PAC ID: 4981852993 Enrollment ID: I20120918000036 |
Provider Name | Shiraj A Vahora |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1407852650 PECOS PAC ID: 3678712882 Enrollment ID: I20130619000608 |
Provider Name | Debbie Villarreal Smith |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1275854622 PECOS PAC ID: 8224270103 Enrollment ID: I20130805000819 |
Provider Name | Nimat Alam |
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Provider Type | Practitioner - Geriatric Medicine |
Provider Identifiers | NPI Number: 1972737898 PECOS PAC ID: 0648412973 Enrollment ID: I20130815000385 |
Provider Name | Anna Marie Francisco |
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Provider Type | Practitioner - Geriatric Medicine |
Provider Identifiers | NPI Number: 1962722009 PECOS PAC ID: 6406099803 Enrollment ID: I20130904000770 |
Provider Name | Lori C Stafford |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1417181280 PECOS PAC ID: 2860635083 Enrollment ID: I20130906000550 |
Provider Name | Babatunde A Jinadu |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1194854836 PECOS PAC ID: 2163568478 Enrollment ID: I20140226001202 |
Provider Name | Lisa E Moore |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1053328013 PECOS PAC ID: 3072415413 Enrollment ID: I20140805001937 |
Provider Name | David Md Banh |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1972829331 PECOS PAC ID: 5698903946 Enrollment ID: I20140808001452 |
Provider Name | Martin Ortega |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1982991899 PECOS PAC ID: 3678791340 Enrollment ID: I20140822000594 |
Provider Name | Scott E Julian |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1538269279 PECOS PAC ID: 0547356503 Enrollment ID: I20141001002019 |
Provider Name | Barbara A Rila |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1104951987 PECOS PAC ID: 7315260221 Enrollment ID: I20141230000674 |
Provider Name | Mary E Seigler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609274034 PECOS PAC ID: 8820303431 Enrollment ID: I20150811005411 |
Provider Name | Mary Grace B Bridges |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1609133362 PECOS PAC ID: 3274825211 Enrollment ID: I20160712000617 |
Provider Name | Stephanie Villarreal |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1023456407 PECOS PAC ID: 9436457694 Enrollment ID: I20160921001338 |
Provider Name | Kathryn N Hutton |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1790046472 PECOS PAC ID: 5092005421 Enrollment ID: I20161012002673 |
Provider Name | Amanda M Murray |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1538505698 PECOS PAC ID: 3577853035 Enrollment ID: I20170627001357 |
Provider Name | Sai Siva J Mungara |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1417397423 PECOS PAC ID: 0446532071 Enrollment ID: I20171122001922 |
Provider Name | Yi-zarn Wang |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1295826774 PECOS PAC ID: 2365522307 Enrollment ID: I20171218001362 |
Provider Name | Cynthia A Chavez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912029448 PECOS PAC ID: 8729340872 Enrollment ID: I20180329001495 |
Provider Name | Sarah Kiani |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1043692411 PECOS PAC ID: 8022369685 Enrollment ID: I20180920000491 |
Provider Name | Elvira Marol Nieto |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548735863 PECOS PAC ID: 4789929746 Enrollment ID: I20181219000891 |
Provider Name | Sudip M Sheth |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1912341934 PECOS PAC ID: 9335445857 Enrollment ID: I20190604001364 |
Provider Name | Michael L Galloway |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1992764013 PECOS PAC ID: 8527150523 Enrollment ID: I20190813002786 |
Provider Name | Srikanth Mukkera |
---|---|
Provider Type | Practitioner - Rheumatology |
Provider Identifiers | NPI Number: 1891006482 PECOS PAC ID: 1254646045 Enrollment ID: I20190930002275 |
Provider Name | Eileen L Sheridan-shayeb |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1760543821 PECOS PAC ID: 6507198983 Enrollment ID: I20191105000434 |
Provider Name | Melissa Alvarez Martinez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356983316 PECOS PAC ID: 4082043898 Enrollment ID: I20200330003520 |
Provider Name | Visalakshi Sethuraman |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1811304801 PECOS PAC ID: 3476984824 Enrollment ID: I20200519001103 |
Provider Name | Barath Vikram Rangaswamy |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1710118724 PECOS PAC ID: 1153611488 Enrollment ID: I20200623000546 |
Provider Name | Mahamudun Nabi |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1255624516 PECOS PAC ID: 3870833643 Enrollment ID: I20200708003637 |
Provider Name | Alejandra Garcia Fernandez |
---|---|
Provider Type | Practitioner - Critical Care (intensivists) |
Provider Identifiers | NPI Number: 1144602582 PECOS PAC ID: 4688964281 Enrollment ID: I20200713001563 |
Provider Name | Vijay Gopal Eranki |
---|---|
Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1780859801 PECOS PAC ID: 6800016585 Enrollment ID: I20201124001014 |
Provider Name | Melissa Bowman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578949202 PECOS PAC ID: 0244643716 Enrollment ID: I20201231000373 |
Provider Name | Janelle Taclob Fabia |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598352585 PECOS PAC ID: 5193139434 Enrollment ID: I20210128001617 |
Provider Name | Kranthi Nandan Seelaboyina |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1154787307 PECOS PAC ID: 5496179921 Enrollment ID: I20210412000414 |
Provider Name | Hassan Khalid |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1528592946 PECOS PAC ID: 4183994551 Enrollment ID: I20210511001919 |
Provider Name | Fukamanji Sikazwe |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821679051 PECOS PAC ID: 4385044395 Enrollment ID: I20210614001081 |
Provider Name | Katie Amanda Corkill |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1568959336 PECOS PAC ID: 5890041677 Enrollment ID: I20210812002006 |
Provider Name | Raghavendra Sanivarapu |
---|---|
Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1437513777 PECOS PAC ID: 1850630674 Enrollment ID: I20220523000828 |
Provider Name | Devi Priya Suravajjala |
---|---|
Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1144740457 PECOS PAC ID: 1557630555 Enrollment ID: I20220608001704 |
Provider Name | Glen Allen Bennion |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1386132876 PECOS PAC ID: 7517212392 Enrollment ID: I20220715000856 |
Provider Name | Racheal Renee Godoy |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821566019 PECOS PAC ID: 9739564501 Enrollment ID: I20220914002266 |
Provider Name | Kristina Mcauliffe |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1831405893 PECOS PAC ID: 2668698143 Enrollment ID: I20230103001867 |
Provider Name | Sudhakar R Konda |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1376737346 PECOS PAC ID: 2769670751 Enrollment ID: I20230107000028 |
Provider Name | Bianca N Lenzy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639893522 PECOS PAC ID: 0840662722 Enrollment ID: I20230203000156 |
Provider Name | Hina Tariq |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1811505274 PECOS PAC ID: 1759709884 Enrollment ID: I20230724000713 |
Provider Name | Lisa D Bayley |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1740980101 PECOS PAC ID: 9537523857 Enrollment ID: I20230919003240 |
Provider Name | Stacy Parker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124703186 PECOS PAC ID: 6406201615 Enrollment ID: I20231009000738 |
Provider Name | Amber Celeste Ruiz |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1598396483 PECOS PAC ID: 2163872458 Enrollment ID: I20231228003292 |
Provider Name | Susie Marquez |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1962729723 PECOS PAC ID: 7315398187 Enrollment ID: I20240105000610 |
Provider Name | Joann Rey |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1245463132 PECOS PAC ID: 3779927850 Enrollment ID: I20240216000915 |
Provider Name | Madhuri Jakkam Setty |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1215466412 PECOS PAC ID: 9830437862 Enrollment ID: I20240327000830 |
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 |