NPIMap

Organization Active NPI

Cardiac Surgical Associates of West Texas

  • Specialist
  • Odessa, TX
National Provider Identifier
1093938631
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
F3628 Issued in TX
Legal business name
CARDIAC SURGICAL ASSOCIATES OF WEST TEXAS
Practice address
710 E 6TH St
Odessa, TX 79761-4655
Phone
(432) 332-4044
Fax
(432) 332-4048
NPI assigned
Apr 11, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sudhir P Srivastava, MDNPI 1598755811
Title
Physcian
Phone
(432) 332-4044

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X F3628 TX Primary

Addresses

Primary practice location

710 E 6TH St
Odessa, TX 79761-4655

Mailing address

710 E 6TH St
Odessa, TX 79761-4655
Phone (432) 332-4044

National Provider Directory

National Provider Directory

Locations

710 E 6th St
Odessa, TX 79761
Phone (432) 334-8088

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093938631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 E 6TH ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614655",
            "telephone_number": "432-332-4044",
            "fax_number": "432-332-4048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 E 6TH ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614655",
            "telephone_number": "432-332-4044",
            "fax_number": "432-332-4048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIAC SURGICAL ASSOCIATES OF WEST TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SRIVASTAVA",
        "authorized_official_first_name": "SUDHIR",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PHYSCIAN",
        "authorized_official_telephone_number": "432-332-4044",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "F3628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.