Odessa Orthopedic Associates PLLC
Orthopaedic Surgery, Orthopaedic Trauma in Odessa, TX. Organization (NPI-2).
NPI number1174862015
StatusActive
Last updated in NPPESJan 27, 2014
Details
- NPI
- 1174862015
- Entity type
- Organization (NPI-2)
- Legal business name
- Odessa Orthopedic Associates PLLC
- Organization subpart
- No
- Enumeration date
- Feb 13, 2013
- Last updated
- Jan 27, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207XX0801X | Orthopaedic Surgery, Orthopaedic Trauma | – | – | Yes |
| 208600000X | Surgery | – | – |
Practice location
500 W 4th StOdessa, TX 79761-5001
Phone 432-332-7500 · Fax 432-332-7503
Mailing address
13737 Noel RdSuite1600
Dallas, TX 75240-1331
Phone 469-401-2386 · Fax 214-712-2444
Authorized official
William Jernberg
President
4694012386
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