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
Last updated
May 30, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2012

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

Authorized official

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.

Specialties & licenses 1

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

Addresses

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

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "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.