Organization Active NPI

West Texas Cardiology PA

  • Cardiovascular Disease Physician
  • Odessa, TX
National Provider Identifier
1477814028
Registry record updated May 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
WEST TEXAS CARDIOLOGY PA
Practice address
501 Golder Ave Ste 203a
Odessa, TX 79761-4440
Phone
(432) 331-9900
Fax
(432) 331-9959
NPI assigned
May 30, 2012
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Nam H Kim, MFNPI 1154424364
Title
Owner
Phone
(432) 331-9900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 1

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

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

NPPES NPI Registry

Primary practice location

501 Golder Ave Ste 203a
Odessa, TX 79761-4440

Mailing address

501 Golder Ave Ste 203a
Odessa, TX 79761-4440
Phone (432) 331-9900

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 30, 2012.

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338336000000",
    "number": "1477814028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 GOLDER AVE STE 203A",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614440",
            "telephone_number": "432-331-9900",
            "fax_number": "432-331-9959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 GOLDER AVE STE 203A",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614440",
            "telephone_number": "432-331-9900",
            "fax_number": "432-331-9959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST TEXAS CARDIOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-30",
        "last_updated": "2012-05-30",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "NAM",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "432-331-9900",
        "authorized_official_credential": "MF"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "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 May 30, 2012; 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.