Organization
ODESSA EMERGENCY PHYSICIANS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONTADHER ALWAZNI MD (CEO)
(432) 552-8208
Entity
Organization
Contact information
Practice address
3800 E 42ND ST STE 105, ODESSA, TX 79762-2100
(432) 552-8208
Mailing address
PO BOX 736889, DALLAS, TX 75373-6889
(432) 552-8208
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
01/18/2022
Last updated
08/02/2022
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