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Organization
PERMIAN PULMONARY, P.A.
Active
Organization
PERMIAN PULMONARY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL L. ADAMS M.D. (PRESIDENT/OWNER)
(432) 580-9444
Entity
Organization
Contact information
Practice address
500 N WASHINGTON AVE STE 100, ODESSA, TX 79761-4441
(432) 580-9444
(432) 580-9555
Mailing address
500 N WASHINGTON AVE STE 100, ODESSA, TX 79761-4441
(432) 580-9444
(432) 580-9555
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0770
TX
207RP1001X
Pulmonary Disease Physician
D0770
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00899T
MEDICARE GROUP# (PTAN)
TX
01
—
134105908 INDIV
MEDICAID INDIV
TX
05
—
154126001 GROUP TPI
—
TX
01
—
290015259
RAILROAD MEDICARE
TX
01
—
45D 1005326
CLIA
TX
01
—
45JF
BCBS GROUP
TX
01
—
864268 INDIV
MEDICARE INDIV
TX
01
—
8G6240
BCBS INDIV
TX
01
—
A87096
UPIN INDIV
TX
Enumeration date
01/11/2008
Last updated
03/16/2011
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