Organization
ODESSA EAST LOOP SURGERY CENTER ,LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS FLORES (CEO)
(432) 367-3906
Entity
Organization
Contact information
Practice address
155 SE LOOP 338, SUITE 500, ODESSA, TX 79762-9703
(432) 367-3906
(432) 367-3895
Mailing address
155 SE LOOP 338, SUITE 500, ODESSA, TX 79762-9703
(432) 367-3906
(432) 367-3895
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
007262
TX
Other
Enumeration date
07/01/2006
Last updated
07/12/2010
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