Permian Acute Care Surgery PLLC

Primary specialty

Trauma Surgery PhysicianTaxonomy code 2086S0127X

Legal business name

PERMIAN ACUTE CARE SURGERY PLLC

Practice address

701 Tradewinds Blvd Ste B
Midland, TX 79706-3166

Phone

(432) 618-6772

Fax

(432) 618-6775

NPI assigned

Nov 15, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Laura Rodriguez

Title

Manager

Phone

(432) 618-6772

Specialties & licenses 3

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1510704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510704000000",
    "number": "1083127724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7106",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797087106",
            "telephone_number": "432-618-6772",
            "fax_number": "432-618-6775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 TRADEWINDS BLVD STE B",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797063166",
            "telephone_number": "432-618-6772",
            "fax_number": "432-618-6775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERMIAN ACUTE CARE SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-15",
        "last_updated": "2017-11-15",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "432-618-6772"
    },
    "taxonomies": [
        {
            "code": "2086S0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Surgery of the Hand",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Trauma Surgery",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathlene Louise Pendleton, LCDC, LPC
• Ron J Peraza, FNP-C
• Mayte Pereda Albert
• Paola Perez-Laurence, PA-S
• Permain Basin Community Centers for MHMR
• Permian Basin Anesthesia P.L.L.C.
• Permian Basin Behavioral Health Center
• Permian Basin Community Center
• Permian Basin Community Center for MHMR
• Permian Basin Community Centers

• Trauma Surgery Physician in Midland, TX
• Providers in Midland, TX by specialty
• Trauma Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.