Organization
OCHILTREE HOSPITAL DISTRICT
Active
Other names
Ochiltree General Hospital ER Physician Group
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLY PAIGE JUDICE (INTERIM CEO)
(806) 435-3606
Entity
Organization
Contact information
Practice address
3101 GARRETT DRIVE, PERRYTON, TX 79070-5323
(806) 435-3606
(806) 435-2813
Mailing address
3101 GARRETT DRIVE, PERRYTON, TX 79070-5323
(806) 435-3606
(806) 435-2813
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
D1548
TX
207P00000X
Emergency Medicine Physician
E8078
TX
207P00000X
Emergency Medicine Physician
G2576
TX
207P00000X
Emergency Medicine Physician
G3581
TX
207P00000X
Emergency Medicine Physician
G4911
TX
207P00000X
Emergency Medicine Physician
L9981
TX
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121902403
—
TX
Enumeration date
01/18/2007
Last updated
10/26/2022
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