Organization
WEST TEXAS GERIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY CHASE (OFFICER/DIRECTOR)
(859) 312-3595
Entity
Organization
Contact information
Practice address
1330 E 8TH ST, 410, ODESSA, TX 79761-4702
(859) 312-3595
Mailing address
1330 E 8TH ST, 410, ODESSA, TX 79761-4702
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
05/17/2012
Last updated
05/17/2012
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