# BASIN PODIATRY P A

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962743203
- **Authorized official:** DR. HILLARY E BRUNNER DPM (DIRECTOR)
- **Authorized official phone:** (917) 575-5488

## Contact information

- **Practice address:** 2903 BILLY HEXT ROAD, ODESSA, TX 79765
- **Practice address phone:** (432) 550-3668
- **Practice address fax:** (432) 550-3671
- **Mailing address:** 15 OASIS, ODESSA, TX 79765-8574
- **Mailing address phone:** (432) 550-3668

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 1926 | TX | Yes |

## Other

- **Enumeration date:** 03/12/2013
- **Last updated:** 04/22/2024