NPIMap

Organization Active NPI

Texas Tech University Health Sciences Center Odessa

  • Family Medicine Physician
  • Odessa, TX
National Provider Identifier
1407845084
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER ODESSA
Practice address
701 W 5TH St
Odessa, TX 79763-4206
Phone
(432) 335-2222
NPI assigned
Oct 17, 2005
Last updated
Aug 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Authorized official

Name
Kory Smith
Title
Assistant Dean Finance Admin
Phone
(432) 703-5142

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary
Ambulatory Family Planning Facility 261QA0005X NU
Durable Medical Equipment & Medical Supplies 332B00000X NU

Addresses

Primary practice location

701 W 5TH St
Odessa, TX 79763-4206

Mailing address

PO Box 733090
Dallas, TX 75373-3090
Phone (432) 703-5000

Other practice location 1

301 N N St
Midland, TX 79701-6404
Phone (432) 620-5800

Other practice location 2

8050 E Highway 191
Odessa, TX 79765-8607
Phone (432) 703-5379

Other practice location 3

900 N Fm 1788
Midland, TX 79707-2091
Phone (432) 620-5800

Other practice location 4

400 Rosalind Redfern Grover Pkwy
Midland, TX 79701-5810
Phone (432) 620-1125

Other practice location 5

900 Don Evans Way
Midland, TX 79707-2348
Phone (432) 620-1160

Other practice location 6

316 Secor St
Midland, TX 79701-6343
Phone (432) 620-1111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040607001561 TX Part B Supplier - Clinic/Group Practice 8426044256 Receives reassigned benefits from 116 practitioners
5 other NPIs on this enrollment
Practice locations: Odessa, TX; Midland, TX

National Provider Directory

National Provider Directory

Locations

400 Rosalind Redfern Grover Pkwy
Ste 281
Midland, TX 79701
Phone (432) 620-5800

701 W 5th St
Odessa, TX 79763
Phone (432) 335-2222

701 W 5th St
#3142
Odessa, TX 79763
Phone (432) 335-2222

701 W 5th St
Ste 2C30L
Odessa, TX 79763
Phone (432) 620-1041

8050 E Highway 191
Ste 211
Odessa, TX 79765

8050 E Highway 191
Ste 213
Odessa, TX 79765
Phone (432) 703-5379

Practitioners & affiliated clinicians

Practitioners 417

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 417

NPI Registry JSON

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785888000000",
    "number": "1407845084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 733090",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753733090",
            "telephone_number": "432-703-5000",
            "fax_number": "432-335-5128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W 5TH ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797634206",
            "telephone_number": "432-335-2222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 N N St",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "TX",
            "postal_code": "797016404",
            "country_code": "US",
            "telephone_number": "432-620-5800",
            "fax_number": "432-620-5873",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8050 E Highway 191",
            "address_purpose": "LOCATION",
            "city": "Odessa",
            "state": "TX",
            "postal_code": "797658607",
            "country_code": "US",
            "telephone_number": "432-703-5379",
            "fax_number": "432-703-5955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 N Fm 1788",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "TX",
            "postal_code": "797072091",
            "country_code": "US",
            "telephone_number": "432-620-5800",
            "fax_number": "432-620-5873",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Rosalind Redfern Grover Pkwy",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "TX",
            "postal_code": "797015810",
            "country_code": "US",
            "telephone_number": "432-620-1125",
            "fax_number": "432-620-1556",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 Don Evans Way",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "TX",
            "postal_code": "797072348",
            "country_code": "US",
            "telephone_number": "432-620-1160",
            "fax_number": "432-620-1156",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "316 Secor St",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "TX",
            "postal_code": "797016343",
            "country_code": "US",
            "telephone_number": "432-620-1111",
            "fax_number": "432-620-1112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER ODESSA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-17",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KORY",
        "authorized_official_title_or_position": "ASSISTANT DEAN FINANCE ADMIN",
        "authorized_official_telephone_number": "432-703-5142"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.