Organization
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND MOSS HAMPTON MD (REGIONAL CHAIRMAN)
(432) 335-5233
Entity
Organization
Contact information
Practice address
701 W 5TH ST, ODESSA, TX 79763-4206
(432) 445-5200
(432) 335-1002
Mailing address
701 W 5TH ST, ODESSA, TX 79763-4206
(432) 445-5200
(432) 335-1002
Taxonomy
Speciality
Code
Description
License number
State
261QA0005X
Ambulatory Family Planning Facility
Primary
508545
TX
367A00000X
Advanced Practice Midwife
508545
TX
Other
Enumeration date
03/13/2009
Last updated
03/13/2009
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