TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER ODESSA – Family Medicine Physician, NPI 1407845084
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER ODESSA
701, West 5th Street, Scharbauer Place, Westside, Odessa, Ector County, Texas, 79763, United States
ODESSA, TX 797634206
Phone: (432) 703-5004
Fax: (432) 335-1807
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-06-07
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 79763)
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