# PERMIAN BASIN REHABILITATION CENTER

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

## Provider details

- **NPI number:** 1992918585
- **Authorized official:** MRS. RISSE ROGERS (CEO)
- **Authorized official phone:** (432) 332-8244

## Contact information

- **Practice address:** 620 N ALLEGHANEY AVE, ODESSA, TX 79761-4408
- **Practice address phone:** (432) 332-8244
- **Practice address fax:** (432) 580-7428
- **Mailing address:** 620 N ALLEGHANEY AVE, ODESSA, TX 79761-4408
- **Mailing address phone:** (432) 332-8244
- **Mailing address fax:** (432) 580-7428

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | — | — | Yes |

## Other

- **Enumeration date:** 05/08/2007
- **Last updated:** 12/10/2007