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West Texas Maternal Fetal Medicine Center, LLC

Obstetrics & Gynecology, Maternal & Fetal Medicine in Odessa, TX. Organization (NPI-2).

NPI number1730519331
StatusActive
Last updated in NPPESNov 18, 2013

Details

NPI
1730519331
Entity type
Organization (NPI-2)
Legal business name
West Texas Maternal Fetal Medicine Center, LLC
Organization subpart
No
Enumeration date
Nov 18, 2013
Last updated
Nov 18, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207VM0101X Obstetrics & Gynecology, Maternal & Fetal MedicineF3413TXYes

Practice location

810 N Dixie Blvd
Suite 109
Odessa, TX 79761-2803

Phone 432-582-2277

Mailing address

Po Box 4123
Odessa, TX 79760-4123

Phone 432-582-2277

Authorized official

Jorge D Blanco
Managing Director
4324139252

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