Organization Active NPI

Odessa East Loop Surgery Center ,LP

  • Ambulatory Surgical Clinic/Center
  • Odessa, TX
National Provider Identifier
1396774535
Registry record updated Jul 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
007262 Issued in TX
Legal business name
ODESSA EAST LOOP SURGERY CENTER ,LP
Practice address
155 SE Loop 338
Suite 500
Odessa, TX 79762-9703
Phone
(432) 367-3906
Fax
(432) 367-3895
NPI assigned
Jul 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2010

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

Authorized official

Name
Chris Flores
Title
Ceo
Phone
(432) 367-3906

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X
Ambulatory Surgical Clinic/Center 261QA1903X 007262 TX Primary

Addresses

Primary practice location

155 SE Loop 338
Suite 500
Odessa, TX 79762-9703

Mailing address

155 SE Loop 338
Suite 500
Odessa, TX 79762-9703
Phone (432) 367-3906

National Provider Directory

National Provider Directory

Locations

155 SE Loop 338
Ste 500
Odessa, TX 79762
Phone (432) 367-3906

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278892800000",
    "number": "1396774535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 SE LOOP 338",
            "address_2": "SUITE 500",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797629703",
            "telephone_number": "432-367-3906",
            "fax_number": "432-367-3895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 SE LOOP 338",
            "address_2": "SUITE 500",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797629703",
            "telephone_number": "432-367-3906",
            "fax_number": "432-367-3895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODESSA EAST LOOP SURGERY CENTER ,LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2010-07-12",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "432-367-3906"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "007262",
            "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 Jul 12, 2010; 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.