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Organization
MULTICARE PLUS PLLC
Active
Organization
MULTICARE PLUS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY W BARTH MD (MEDICAL DIRECTOR)
(432) 580-7004
Entity
Organization
Contact information
Practice address
801 N GRANT AVE, ODESSA, TX 79761-4045
(432) 580-3700
(432) 580-3707
Mailing address
801 N GRANT AVE, ODESSA, TX 79761-4045
(432) 580-7004
(432) 262-0551
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E7559
TX
208VP0000X
Pain Medicine Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6405660001
PALMETTO GBA
TX
Enumeration date
07/02/2009
Last updated
11/16/2010
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