WTCR Odessa, Inc. – Substance Use Disorder Rehabilitation Clinic/Center, NPI 1588795686

WTCR Odessa, Inc. is a healthcare provider. based in Austin, Texas. specializing in Substance Use Disorder Rehabilitation Clinic/Center. The NPI Number for WTCR Odessa, Inc. is 1588795686

Main info

Organization
Name
WTCR Odessa, Inc.
NPI
1588795686
Phone
Not provided
Address
PO BOX 303249
Authorized Official
IVAN GARCIA PRESIDENT MD
Enumeration Date
8 March 2007
Last Update Date
5 January 2026
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness90
Years active:19State licenses:0Digital endpoints

Provider Addresses for WTCR Odessa, Inc.

  • PO BOX 303249

    AUSTIN, TX 787030055

    Phone:

    Type: Mailing

  • 515 GOLDER AVE

    ODESSA, TX 797614411

    Phone: (432) 335-8141

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-02-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2025-10-31 (221 days ago).

Enrollment records

1

Earliest due date

2025-10-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20200213001841OOpioid Treatment Program (Otp)TX2025-10-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78703)

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Reviews

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Frequently asked questions

Is WTCR Odessa, Inc. listed with a National Provider Identifier?
Yes — WTCR Odessa, Inc. has NPI 1588795686 on file in the registry.
Would WTCR Odessa, Inc. appear as active to a payer?
You can treat WTCR Odessa, Inc. as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to WTCR Odessa, Inc.?
WTCR Odessa, Inc.'s specialty line reads Substance Use Disorder Rehabilitation Clinic/Center. Clinical services aligned with this taxonomy classification.
Is WTCR Odessa, Inc. associated with Austin?
Public fields place WTCR Odessa, Inc. around Austin, Texas. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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