Organization Active NPI

West Texas Geriatrics LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Odessa, TX
National Provider Identifier
1386904829
Registry record updated May 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
WEST TEXAS GERIATRICS LLC
Practice address
1330 E 8TH St
410
Odessa, TX 79761-4702
Phone
(859) 312-3595
NPI assigned
May 17, 2012
Last updated
May 17, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2012

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

Authorized official

Name
Mr. Anthony Chase
Title
Officer/Director
Phone
(859) 312-3595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X NU Primary

Addresses

Primary practice location

1330 E 8TH St
410
Odessa, TX 79761-4702

Mailing address

1330 E 8TH St
410
Odessa, TX 79761-4702

National Provider Directory

National Provider Directory

Locations

1330 E 8th St
Ste 410
Odessa, TX 79761
Phone (432) 333-3700

NPI Registry JSON

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

{
    "created_epoch": "1337212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337212800000",
    "number": "1386904829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 E 8TH ST",
            "address_2": "410",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 E 8TH ST",
            "address_2": "410",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614702",
            "telephone_number": "859-312-3595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST TEXAS GERIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-17",
        "last_updated": "2012-05-17",
        "status": "A",
        "authorized_official_last_name": "CHASE",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OFFICER/DIRECTOR",
        "authorized_official_telephone_number": "859-312-3595",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NU",
            "license": null,
            "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 May 17, 2012; 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.