Organization
PERMIAN ORTHOPAEDIC ASSOCIATES
Active
Other names
Phillip R Zeeck MD
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GALE SIDES (OFFICE MANAGER)
(432) 337-6617
Entity
Organization
Contact information
Practice address
500 N WASHINGTON AVE, SUITE 400, ODESSA, TX 79761-4401
(432) 337-6617
(432) 337-4905
Mailing address
P O BOX 593, ODESSA, TX 79760-0593
(432) 337-6617
(432) 337-4905
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
D1123
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100098601
—
TX
01
—
80350Y
BLUE CROSS BLUE SHIELD
TX
Enumeration date
03/25/2008
Last updated
11/29/2011
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