Odessa Surgical Services, PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

392846937 Issued in TX

Legal business name

ODESSA SURGICAL SERVICES, PLLC

Practice address

540 W 5TH St
Suite 470
Odessa, TX 79761-5034

Phone

(432) 653-0094

Fax

(432) 580-8333

NPI assigned

Dec 14, 2016

Last updated

Dec 14, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Darren R Glass, MD

Title

Provider

Phone

(432) 653-0094

Specialties & licenses 1

Addresses

Other names 1

• DARREN GLASS MD SOLE MBR Other name

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

{
    "created_epoch": "1481673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481673600000",
    "number": "1407390180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 W 5TH ST",
            "address_2": "SUITE 470",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797615034",
            "telephone_number": "432-653-0094",
            "fax_number": "432-580-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 W 5TH ST",
            "address_2": "SUITE 470",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797615034",
            "telephone_number": "432-653-0094",
            "fax_number": "432-580-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODESSA SURGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-14",
        "last_updated": "2016-12-14",
        "status": "A",
        "authorized_official_last_name": "GLASS",
        "authorized_official_first_name": "DARREN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "432-653-0094",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "392846937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DARREN GLASS MD SOLE MBR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Kolawole Odumusi, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2016; 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.