Organization
COMPASS PEDIATRICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMARA RACHELLE BAVOUSETT DNP, RN, C-PNP (NURSE PRACTITIONER/OWNER)
(432) 332-2080
Entity
Organization
Contact information
Practice address
6100 EASTRIDGE RD, ODESSA, TX 79762-5002
(432) 332-2080
(866) 298-7237
Mailing address
6100 EASTRIDGE RD, ODESSA, TX 79762-5002
(432) 332-2080
(866) 298-7237
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
657564
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
214730801
—
TX
Enumeration date
08/31/2010
Last updated
04/01/2014
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