Organization
ADVANCED ODESSA HOSPITAL & CLINICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINNA GONZALEZ (BUSINESS OFFICE DIRECTOR)
(832) 207-8508
Entity
Organization
Contact information
Practice address
900 E 4TH ST, ODESSA, TX 79761-5255
(713) 790-1666
Mailing address
1911 BAGBY ST, HOUSTON, TX 77002-8594
(713) 790-1666
(713) 383-4470
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
07/25/2023
Last updated
05/06/2024
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