Organization
PERMIAN ER III, LLC.
Active
Other names
Excel ER - Odessa
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM VALAINIS (OWNER)
(432) 366-2911
Entity
Organization
Contact information
Practice address
6131 EAST HIGHWAY 191, ODESSA, TX 79762
(432) 366-2911
(432) 366-0790
Mailing address
6131 EAST HIGHWAY 191, ODESSA, TX 79762
(432) 366-2911
(432) 366-0790
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160257
TDSHS FEC LICENSE
TX
Enumeration date
01/09/2015
Last updated
08/25/2021
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