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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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