MEDICARE: COURTNEY KAY MYERS PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA14083	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154976660
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COURTNEY KAY MYERS PA-C

Provider Business Mailing Address
First Line	:	4502 MEDICAL DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-4402
Country	:	US
Telephone Number	:	210-358-4000
Fax Number	:	210-358-4775

Provider Business Practice Location Address
First Line	:	540 W 5TH ST STE 460
Second Line	:
City	:	ODESSA
State	:	TX
Zip	:	79761-5068
Country	:	US
Telephone Number	:	432-337-3117
Fax Number	:	432-640-6366

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2019
Last Update Date	:	05/19/2026

Similar Medicare Providers

1316878382 — SYDNEY VINCENT
Practice Location Address:

5000 HANOVER DR
ODESSA, TX
79761-2239

Practice Phone: 432-550-4700
Practice Fax:

1871424838 — MATTHEW JAKOB KOZERA
Practice Location Address:

5000 HANOVER DR
ODESSA, TX
79761-2239

Practice Phone: 432-550-4700
Practice Fax:

1508220641 — ANTONYOS MAHFOUD MD
Practice Location Address:

500 W 4TH ST
ODESSA, TX
79761

Practice Phone: 432-640-2408
Practice Fax:

1639597552 — COMPLETE DIALYSIS CARE LLC
Practice Location Address:

607 EAST 7TH STREET
ODESSA, TX
79761-4509

Practice Phone: 432-332-1632
Practice Fax: 432-332-1633

1942092671 — DIEPREYE OMIEBA AKUIYIBO APRN
Practice Location Address:

500 W 4TH ST
ODESSA, TX
79761-5001

Practice Phone: 432-640-2403
Practice Fax: 432-640-2797

1174419733 — JAVASHIA NICOLE SMITH MSN, APRN, FNP-C
Practice Location Address:

221 N SAM HOUSTON AVE
ODESSA, TX
79761-5040

Practice Phone: 432-272-6047
Practice Fax:

Directions to “ COURTNEY KAY MYERS PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.