Organization
BASIN ORTHOPEDIC SURGICAL SPECIALISTS, P.A.
Active
Organization
BASIN ORTHOPEDIC SURGICAL SPECIALISTS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUYLENE MCNEAL SANDERS (OFFICE MANAGER)
(432) 332-2663
Entity
Organization
Contact information
Practice address
1 PARKS LEGADO CT, ODESSA, TX 79765-2542
(432) 332-2663
(432) 337-0910
Mailing address
1 PARKS LEGADO CT, ODESSA, TX 79765-2542
(432) 332-2663
(432) 337-0910
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0058CG
BCBS
TX
05
—
079636901
—
TX
01
—
CG3039
RAILROAD MCR
TX
01
—
MDF6593TX
WORKCOMP
TX
Enumeration date
08/08/2006
Last updated
03/18/2025
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