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General NPI Number Information
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NPI Number | 1427297134
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Entity Type | Organization
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Legal Business Name | PERMIAN PHYSICIAN SERVICES
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Dates
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Enumeration Date | 02/19/2009
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 704 HOSPITAL DR
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City | ANDREWS
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State | TX
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Zip | 79714-3617
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Country | US
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Telephone | 432-464-2377
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Fax | 432-464-2563
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Provider Business Mailing Address
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Address Line | 704 HOSPITAL DR
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City | ANDREWS
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State | TX
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Zip | 79714-3617
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Country | US
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Telephone | 432-523-6624
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Fax | 432-524-1129
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Authorized Official
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Title or Position | CEO
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Name | DONNY BOOTH
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Credential |
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Telephone | 432-464-2103
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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