# ADVANCED ODESSA HOSPITAL & CLINICS LLC

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

## Provider details

- **NPI number:** 1174204994
- **Authorized official:** TINNA GONZALEZ (BUSINESS OFFICE DIRECTOR)
- **Authorized official phone:** (832) 207-8508

## Contact information

- **Practice address:** 900 E 4TH ST, ODESSA, TX 79761-5255
- **Practice address phone:** (713) 790-1666
- **Mailing address:** 1911 BAGBY ST, HOUSTON, TX 77002-8594
- **Mailing address phone:** (713) 790-1666
- **Mailing address fax:** (713) 383-4470

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | — |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 07/25/2023
- **Last updated:** 05/06/2024