Compass Pediatrics, PLLC
Clinic/Center, Primary Care in Odessa, TX. Organization (NPI-2).
NPI number1306152103
StatusActive
Last updated in NPPESApr 1, 2014
Details
- NPI
- 1306152103
- Entity type
- Organization (NPI-2)
- Legal business name
- Compass Pediatrics, PLLC
- Organization subpart
- No
- Enumeration date
- Aug 31, 2010
- Last updated
- Apr 1, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | 657564 | TX | Yes |
Practice location
6100 Eastridge RdOdessa, TX 79762-5002
Phone 432-332-2080 · Fax 866-298-7237
Mailing address
6100 Eastridge RdOdessa, TX 79762-5002
Phone 432-332-2080 · Fax 866-298-7237
Authorized official
Tamara Rachelle Bavousett
Nurse Practitioner/Owner
4323322080
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