Permian ER III, LLC.

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

Legal business name

PERMIAN ER III, LLC.

Doing business as

Excel ER - Odessa

Practice address

6131 East Highway 191
Odessa, TX 79762

Phone

(432) 366-2911

Fax

(432) 366-0790

NPI assigned

Jan 9, 2015

Last updated

Aug 25, 2021By 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

Adam Valainis

Title

Owner

Phone

(432) 366-2911

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Excel ER - Odessa Doing business as

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

{
    "created_epoch": "1420761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629849600000",
    "number": "1508255886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6131 EAST HIGHWAY 191",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "79762",
            "telephone_number": "432-366-2911",
            "fax_number": "432-366-0790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6131 EAST HIGHWAY 191",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "79762",
            "telephone_number": "432-366-2911",
            "fax_number": "432-366-0790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERMIAN ER III, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-09",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A",
        "authorized_official_last_name": "VALAINIS",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "432-366-2911"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TDSHS FEC LICENSE",
            "identifier": "160257",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Excel ER - Odessa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Permian Basin Practice Exchange
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• Permian Endoscopy Center
• Permian Family Clinic
• Permian Gastroenterology Associates LLP
• Permian Hand and Plastic Surgery PLLC
• Permian Healthcare Inc (Star Oxygen & Medical Equipment Inc)
• Permian Imaging LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; 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.