Archuleta Family LTD.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G8798 Issued in TX

Legal business name

ARCHULETA FAMILY LTD.

Practice address

4241 Tanglewood Lane
Suite 102
Odessa, TX 79762

Phone

(432) 332-1273

Fax

(432) 367-8687

NPI assigned

May 3, 2007

Last updated

Oct 26, 2007By 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

Lisa Martinez

Title

Office Manager

Phone

(432) 332-1273

Specialties & licenses 1

Addresses

Locations

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.

• Diana Casanova, MD

  • Family Medicine Physician
  • Odessa, TX
  • NPI 1831267590
  NPD (past)

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193356800000",
    "number": "1710109350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4241 TANGLEWOOD LANE",
            "address_2": "SUITE 102",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "79762",
            "telephone_number": "432-332-1273",
            "fax_number": "432-367-8687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4241 TANGLEWOOD LANE",
            "address_2": "SUITE 102",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "79762",
            "telephone_number": "432-332-1273",
            "fax_number": "432-367-8687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCHULETA FAMILY LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-10-26",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "432-332-1273"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "G8798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sana Anwar, MD
• Renan Aranda
• Christyn Michelle O'Shannan N Archer
• Emma Requel Archer, M.D
• Therese A Archer, RN, RMT
• Juliet Arihi, FNP-C
• Muhammad Arish, M.D.
• Arm Associates LP
• Brittany Nicole Armendariz
• Miroir Armendariz

• Specialist in Odessa, TX
• Providers in Odessa, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; 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.