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NPI Code Detail

MEDICARE: ODESSA HEART INSTITUTE

MEDICARE: ODESSA HEART INSTITUTE
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
1174400000XSpecialist

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 : 1821131855
Entity Type Code : Organization
Provider Name (Legal Business Name) : ODESSA HEART INSTITUTE
Provider Business Mailing Address
First Line : 720 GOLDER AVE
Second Line :
City : ODESSA
State : TX
Zip : 79761-4442
Country : US
Telephone Number : 432-337-3117
Fax Number :
Provider Business Practice Location Address
First Line : 720 GOLDER AVE
Second Line :
City : ODESSA
State : TX
Zip : 79761-4442
Country : US
Telephone Number : 432-337-3117
Fax Number :
Authorized Official
Title or Position : OFFICE MANAGER
Name : DANNINE GARVEY
Credential :
Telephone Number : 432-337-3117
Provider Enumeration Date : 02/15/2007
Last Update Date : 01/12/2010

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Directions to “ODESSA HEART INSTITUTE ” Practice Location

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