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Organization

INTERNATIONAL LOCUM TENENS

Active
Parent organization
INTERNATIONAL LOCUM TENENS
Other names
Basin Health Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
INTERNATIONAL LOCUM TENENS
Authorized official
DR. DANIEL H. KINZIE IV MD (CEO)
(432) 553-3117
Entity
Organization

Contact information

Practice address
900 E 4TH ST, ODESSA, TX 79761-5255
(432) 556-4817
(432) 563-2071
Mailing address
2808 S COUNTY ROAD 1257, MIDLAND, TX 79706-2847
(432) 553-3117
(432) 563-2071

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary

Other

Enumeration date
11/05/2014
Last updated
11/05/2014
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