Organization
EOT-ADS LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN DANIEL SMITH M.D. (PRESIDENT)
(432) 617-0036
Entity
Organization
Contact information
Practice address
155 SE LOOP 338, ODESSA, TX 79762-9703
(432) 367-7241
Mailing address
5757 COLORADO AVE, ODESSA, TX 79762-9410
(432) 367-7241
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
J1042
TX
Other
Enumeration date
01/28/2009
Last updated
01/28/2009
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