# PERMIAN WOMEN'S CENTER, P.A

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013942861
- **Authorized official:** MR. PILL G. RAJA M.D. (CEO)
- **Authorized official phone:** (432) 580-9876

## Contact information

- **Practice address:** 405 N TOM GREEN AVE, ODESSA, TX 79761-5145
- **Practice address phone:** (432) 580-9876
- **Mailing address:** 405 N TOM GREEN AVE, ODESSA, TX 79761-5145
- **Mailing address phone:** (432) 580-9876
- **Mailing address fax:** (432) 580-9877

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | K2522 | TX | — |
| 207V00000X | Obstetrics & Gynecology Physician | K2565 | TX | Yes |

## Other

- **Enumeration date:** 07/11/2006
- **Last updated:** 06/19/2008