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Organization
ODESSA ENDOSCOPY CENTER LLC
Active
Organization
ODESSA ENDOSCOPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER BLACH (OFFICER)
(713) 343-0832
Entity
Organization
Contact information
Practice address
315 E 5TH ST, ODESSA, TX 79761-5133
(432) 335-8300
(432) 335-8330
Mailing address
315 E 5TH ST, ODESSA, TX 79761-5133
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
007948
TX
Other
Enumeration date
09/22/2010
Last updated
01/16/2025
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