Active NPI
Odessa East Loop Surgery Center ,LP
- Ambulatory Surgical Clinic/Center
- Odessa, TX
National Provider Identifier
1396774535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 007262
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 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 DirectoryLocations
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.
-
- Ophthalmology Physician
- Odessa, TX
- NPI 1285603423
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.