Organization
PERMIAN WOMEN'S CENTER, P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PILL G. RAJA M.D. (CEO)
(432) 580-9876
Entity
Organization
Contact information
Practice address
405 N TOM GREEN AVE, ODESSA, TX 79761-5145
(432) 580-9876
Mailing address
405 N TOM GREEN AVE, ODESSA, TX 79761-5145
(432) 580-9876
(432) 580-9877
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
K2522
TX
207V00000X
Obstetrics & Gynecology Physician
Primary
K2565
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080839601
—
TX
Enumeration date
07/11/2006
Last updated
06/19/2008
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