Organization
TEXAS PRN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIXTA MONICA GUMATO M.D. (MEDICAL DIRECTOR)
(432) 558-2223
Entity
Organization
Contact information
Practice address
2020 E 8TH ST, ODESSA, TX 79761-4204
(432) 558-2223
Mailing address
2020 E 8TH ST, ODESSA, TX 79761-4204
(432) 558-2223
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
10/11/2012
Last updated
10/11/2012
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