Organization
PEDI CARDIO OF WEST TEXAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CEM NASUHOGLU M.D. (MEMBER OF BUSINESS)
(432) 332-0052
Entity
Organization
Contact information
Practice address
850 TOWER DR, SUITE # 112, ODESSA, TX 79761-4238
(432) 332-0052
Mailing address
850 TOWER DR, SUITE112, ODESSA, TX 79761-4238
(432) 332-0052
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
M1256
TX
Other
Enumeration date
08/26/2008
Last updated
02/03/2011
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