Organization
PERMIAN NEPHROLOGY ASSOCIATES PA
Active
Other names
Desert Milagro Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY D. OLIVER (OWNER)
(432) 522-2304
Entity
Organization
Contact information
Practice address
230 N WASHINGTON AVE, ODESSA, TX 79761-5424
(432) 580-8181
(432) 580-4259
Mailing address
230 N WASHINGTON AVE, ODESSA, TX 79761-5424
(432) 580-8181
(432) 580-4259
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
12/02/2008
Last updated
11/04/2009
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