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Organization
TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER ODESSA
Active
Organization
TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER ODESSA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KORY SMITH (ASSISTANT DEAN FINANCE ADMIN)
(432) 703-5142
Entity
Organization
Contact information
Practice address
701 W 5TH ST, ODESSA, TX 79763-4206
(432) 335-2222
Mailing address
PO BOX 733090, DALLAS, TX 75373-3090
(432) 703-5000
(432) 335-5128
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
—
261QA0005X
Ambulatory Family Planning Facility
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
081939301
—
TX
Enumeration date
10/17/2005
Last updated
08/05/2026
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