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NPI Code Detail

MEDICARE: ODESSA MEDICAL ENTERPRISES PLLC

MEDICARE: ODESSA MEDICAL ENTERPRISES PLLC
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
1207RP1001XPulmonary Disease PhysicianK9047TX
2207RC0200XCritical Care Medicine (Internal Medicine) PhysicianK9047TX
3207R00000XInternal Medicine PhysicianK9047TX

General Provider Information

NPI Number : 1992986053
Entity Type Code : Organization
Provider Name (Legal Business Name) : ODESSA MEDICAL ENTERPRISES PLLC
Provider Business Mailing Address
First Line : PO BOX 7179
Second Line :
City : ODESSA
State : TX
Zip : 79760-7179
Country : US
Telephone Number : 432-640-4000
Fax Number : 432-332-5558
Provider Business Practice Location Address
First Line : 500 W 4TH ST
Second Line :
City : ODESSA
State : TX
Zip : 79761-5001
Country : US
Telephone Number : 432-212-6894
Fax Number : 432-332-5558
Authorized Official
Title or Position : OWNER / PRESIDENT
Name : DR. KHAVAR J DAR
Credential : MD
Telephone Number : 432-640-4000
Provider Enumeration Date : 11/16/2007
Last Update Date : 01/05/2026

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Directions to “ODESSA MEDICAL ENTERPRISES PLLC ” Practice Location

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