MEDICARE: DAVID SOLOMON LIBSON MD

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	207V00000X	Obstetrics & Gynecology Physician	HO566	TX

General Provider Information

NPI Number	:	1558368324
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID SOLOMON LIBSON MD

Provider Business Mailing Address
First Line	:	421 E 7TH ST
Second Line	:
City	:	ODESSA
State	:	TX
Zip	:	79761-4562
Country	:	US
Telephone Number	:	432-333-2900
Fax Number	:	432-333-2970

Provider Business Practice Location Address
First Line	:	800 W 4TH ST STE 2C60
Second Line	:
City	:	ODESSA
State	:	TX
Zip	:	79763-4368
Country	:	US
Telephone Number	:	432-703-5050
Fax Number	:

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

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	07/03/2023

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