Organization
PERMIAN BASIN KIDNEY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANAND REDDY MD (OWNER)
(314) 378-7270
Entity
Organization
Contact information
Practice address
410 N HANCOCK AVE, ODESSA, TX 79761-5140
(432) 279-0905
(432) 279-0904
Mailing address
410 N HANCOCK AVE, ODESSA, TX 79761-5140
(432) 279-0905
(432) 279-0904
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
02/06/2019
Last updated
12/08/2022
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