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Organization
ESSENTIAL FAMILY PRACTICE OF WEST TEXAS PLLC
Active
Organization
ESSENTIAL FAMILY PRACTICE OF WEST TEXAS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELYNN DORMAN FNP-C (OWNER/FAMILY NURSE PRACTITIONER)
(432) 978-3022
Entity
Organization
Contact information
Practice address
6940 E YUKON RD STE 200, ODESSA, TX 79765-2683
(432) 614-2176
(432) 614-0876
Mailing address
6940 E YUKON RD STE 200, ODESSA, TX 79765-2683
(432) 614-2176
(432) 614-0876
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013444892
—
TX
05
—
1962068981
—
TX
Enumeration date
06/29/2023
Last updated
05/05/2026
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