International Locum Tenens

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

INTERNATIONAL LOCUM TENENS

Doing business as

Basin Health Clinic

Practice address

900 E 4TH St
Odessa, TX 79761-5255

Phone

(432) 556-4817

Fax

(432) 563-2071

NPI assigned

Nov 5, 2014

Last updated

Nov 5, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

INTERNATIONAL LOCUM TENENSAs reported in NPPES

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

Authorized official

Name

Dr. Daniel H. Kinzie IV, MD

Title

Ceo

Phone

(432) 553-3117

Specialties & licenses 1

Addresses

Other names 1

• Basin Health Clinic Doing business as

Part of

Permian Occupational Medicine

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• International Locum Tenens

  dba Permian Occupational Medicine and Worker Injury

  • Health Maintenance Organization
  • Midland, TX
  • NPI 1518206176
  NPPES parent name

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415145600000",
    "number": "1174929087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2808 S COUNTY ROAD 1257",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797062847",
            "telephone_number": "432-553-3117",
            "fax_number": "432-563-2071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E 4TH ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797615255",
            "telephone_number": "432-556-4817",
            "fax_number": "432-563-2071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNATIONAL LOCUM TENENS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTERNATIONAL LOCUM TENENS",
        "enumeration_date": "2014-11-05",
        "last_updated": "2014-11-05",
        "status": "A",
        "authorized_official_last_name": "KINZIE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "432-553-3117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Basin Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kubra Ilyas
• Impressions Counseling LLC (Impressions Counseling)
• Infusion Assoc of W Texas LLC (Option Care of W Texas)
• Integrated Pain Associates PLLC
• Integrity Home Health of West Texas Inc
• Interventional Partners PLLC (Permian Basin Foot & Ankle)
• Ali Irani
• Eduardo Alejandro Iregui, MD
• Osnay Isasi Gazmuri, FNP-C
• MD Moinul Islam, P.A.

• Health Service Clinic/Center in Odessa, TX
• Providers in Odessa, TX by specialty
• Health Service Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; 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.