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NPI Code Detail

MEDICARE: PERMIAN WOMEN'S CENTER, P.A

MEDICARE: PERMIAN WOMEN'S CENTER, P.A
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
1207R00000XInternal Medicine PhysicianK2522TX
2207V00000XObstetrics & Gynecology PhysicianK2565TX

Other Identifiers

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

General Provider Information

NPI Number : 1013942861
Entity Type Code : Organization
Provider Name (Legal Business Name) : PERMIAN WOMEN'S CENTER, P.A
Provider Business Mailing Address
First Line : 405 N TOM GREEN AVE
Second Line :
City : ODESSA
State : TX
Zip : 79761-5145
Country : US
Telephone Number : 432-580-9876
Fax Number : 432-580-9877
Provider Business Practice Location Address
First Line : 405 N TOM GREEN AVE
Second Line :
City : ODESSA
State : TX
Zip : 79761-5145
Country : US
Telephone Number : 432-580-9876
Fax Number :
Authorized Official
Title or Position : CEO
Name : MR. PILL G. RAJA
Credential : M.D.
Telephone Number : 432-580-9876
Provider Enumeration Date : 07/11/2006
Last Update Date : 06/19/2008

Similar Medicare Providers

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Practice Location Address:
405 N TOM GREEN AVE
ODESSA, TX
79761-5145
Practice Phone: 432-580-8976
Practice Fax:
1811986276 — MRS. JAMIE L CHANCE MS
Practice Location Address:
421 N TOM GREEN AVE
ODESSA, TX
79761-5145
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1386603207 — MRS. LYNNETTE JEWEL CARRENS WHNP
Practice Location Address:
405 N TOM GREEN AVE
ODESSA, TX
79761-5145
Practice Phone: 432-580-9876
Practice Fax: 432-580-9877
1689633075 — DR. USHA R KURRA II M.D.
Practice Location Address:
405 N TOM GREEN AVE
ODESSA, TX
79761-5145
Practice Phone: 432-580-9876
Practice Fax: 432-580-9877
1518927656 — DR. PILL G RAJA M.D.
Practice Location Address:
405 N TOM GREEN AVE
ODESSA, TX
79761-5145
Practice Phone: 432-580-9876
Practice Fax: 432-580-9877
1205477908 — MRS. EVELYN HERNANDEZ CATUNGAL FNP-C
Practice Location Address:
405 N TOM GREEN AVE
ODESSA, TX
79761-5145
Practice Phone: 432-580-9876
Practice Fax: 432-580-9877

Directions to “PERMIAN WOMEN'S CENTER, P.A ” Practice Location

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