Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
PERMIAN FAMILY CLINIC
Active
Organization
PERMIAN FAMILY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONELL JEAN CARLSON CSFNP (NURSE PRACTITIONER)
(432) 362-8400
Entity
Organization
Contact information
Practice address
4039 E 42ND ST, ODESSA, TX 79762-5935
(432) 362-8400
(432) 362-8407
Mailing address
509 DELMAR ST, APT 402, MIDLAND, TX 79703-5572
(432) 362-8400
(432) 362-8407
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
532880
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8N5086
BCBS
TX
Enumeration date
04/02/2007
Last updated
01/17/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up