Organization
PERMIAN PREMIER HEALTH SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY GUAY (PRESIDENT)
(617) 789-5018
Entity
Organization
Contact information
Practice address
520 E 6TH ST, ODESSA, TX 79761-4527
(615) 467-4474
(615) 467-1267
Mailing address
PO BOX 24573, BELFAST, ME 04915-4496
(615) 467-4158
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
01340161
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181766001
—
TX
Enumeration date
07/03/2006
Last updated
08/22/2021
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