MCH Professional Care Hospital Based
Organization Active NPI Family Medicine Physician · Odessa, TX
NPI 1447547773 · NPPES record last updated Jun 19, 2026
Key facts
- NPI
- 1447547773
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- MCH PROFESSIONAL CARE HOSPITAL BASED
- Practice address
- 500 W 4TH St
Odessa, TX 79761-5001 - Phone
- (432) 640-2401
- Fax
- (432) 640-4606
- NPI assigned
- Jul 7, 2011
- Organization subpart
- Yes
- Parent organization (as reported)
- MCH PROFESSIONAL CARE
Authorized official
- Name
- Adiel Alvarado
- Title
- President
- Phone
- (432) 640-2401
Parent organization (reported in NPPES) 1
Practitioners 221
-
Scott Adams, M.D.
-
Joyce Alase, MD
-
Errol Claude Anderson, M.D.
-
Rizwan Asim, MD
-
Bienvenido Buaquen Baquirin, FNP-C
-
Sudhir Bare, M.D.
-
Kenneth H. Batch, M.D.
-
Bolanle Bolaji, MD, MPH
-
Marcus Daniel Braud, CRNA
-
Joseph F Bryan, M.D.
-
Jaya K Chadalavada, M.D.
-
Ramchander K Chari, M.D.
-
Michael Jesus Cuizon, FNP-C
-
Bich Thao Dang, MD
-
Khavar J Dar, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111116000437 | TX | Part B Supplier - Clinic/Group Practice | 1557535127 |
Receives reassigned benefits from 219 practitioners Practice locations: Odessa, TX |
National Provider Directory
- Part of
- MCH Professional Care
Locations
8050 E Highway 191
Odessa, TX 79765
Phone (432) 337-5411
8050 E Highway 191
Ste 104A
Odessa, TX 79765
Phone (432) 366-8753
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | |||
| Family Medicine Physician |
207Q00000X | Yes | ||
| Critical Care Medicine (Internal Medicine) Physician |
207RC0200X | |||
| Anatomic Pathology & Clinical Pathology Physician |
207ZP0102X | |||
| Diagnostic Radiology Physician |
2085R0202X | |||
| Hospitalist Physician |
208M00000X |
Addresses
Primary practice location
500 W 4TH St
Odessa, TX 79761-5001
Mailing address
PO Box 2129
Odessa, TX 79760-2129
Phone (432) 640-2401
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 289541901 | Medicaid | TX |
Other providers in Odessa, TX
- Caitlin Shannon McGill
- Kathryn Annette McGowan
- Cortney Margaret McGraw
- MCH Professional Care
- MCH Professional Care
- MCH Professional Care Radiology
- MCH Traumacare
- La' Tarra McIntire
- Shaye Lynne McIntyre
- Deneisa Starlene McKaskle
All providers in Odessa, TX · Family Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.