| Trinity Family Practice & Urgent Care Llc | |
|
6110 Eastridge Rd Odessa TX 79762-5002 | |
| (432) 238-5076 | |
| Not Available |
| Full Name | Trinity Family Practice & Urgent Care Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 6110 Eastridge Rd, Odessa, Texas |
| Authorized Official Name and Position | Jason Payne (PRESIDENT) |
| Authorized Official Contact | 4322385076 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Family Practice & Urgent Care Llc Po Box 14925 Odessa TX 79768-4925 Ph: (432) 238-5076 | Trinity Family Practice & Urgent Care Llc 6110 Eastridge Rd Odessa TX 79762-5002 Ph: (432) 238-5076 |
| NPI Number | 1750869194 |
|---|---|
| Provider Enumeration Date | 07/28/2018 |
| Last Update Date | 07/28/2018 |
| Medicare PECOS PAC ID | 4789924432 |
|---|---|
| Medicare Enrollment ID | O20190318000282 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750869194 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Clifford O Janke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275574196 PECOS PAC ID: 9133142789 Enrollment ID: I20070131000661 |
| Provider Name | Robin D Byrne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124491634 PECOS PAC ID: 0143249565 Enrollment ID: I20160420000338 |
| Provider Name | Scott R Stout |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043729601 PECOS PAC ID: 6103184338 Enrollment ID: I20171218001244 |
| Provider Name | Erin N Mann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639711401 PECOS PAC ID: 7113343476 Enrollment ID: I20200817003473 |
| Provider Name | Atanacio Gomez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114456449 PECOS PAC ID: 8820367071 Enrollment ID: I20201016002681 |
| Provider Name | Alena Vladimirovna Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821607219 PECOS PAC ID: 4082022496 Enrollment ID: I20210426000463 |
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 |