Organization
SENTRY MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL WAYNE SAMP CPFT, RRT, RCP (CEO)
(432) 331-1492
Entity
Organization
Contact information
Practice address
855 CENTRAL DR, SUITE 15, ODESSA, TX 79761-4200
(432) 331-1492
(432) 331-1493
Mailing address
855 CENTRAL DR, SUITE 15, ODESSA, TX 79761-4200
(432) 331-1492
(432) 331-1493
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
51464
TX
Other
Enumeration date
06/12/2007
Last updated
08/22/2020
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