NPIMap

Organization Active NPI

West Texas Maternal Fetal Medicine Center, LLC

  • Maternal & Fetal Medicine Physician
  • Odessa, TX
National Provider Identifier
1730519331
Registry record updated Nov 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
F3413 Issued in TX
Legal business name
WEST TEXAS MATERNAL FETAL MEDICINE CENTER, LLC
Practice address
810 N Dixie Blvd
Suite 109
Odessa, TX 79761-2803
Phone
(432) 582-2277
NPI assigned
Nov 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2013

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

Authorized official

Name
Dr. Jorge D Blanco, M.D.NPI 1083656938
Title
Managing Director
Phone
(432) 413-9252

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
Maternal & Fetal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VM0101X F3413 TX Primary

Addresses

Primary practice location

810 N Dixie Blvd
Suite 109
Odessa, TX 79761-2803

Mailing address

PO Box 4123
Odessa, TX 79760-4123
Phone (432) 582-2277

National Provider Directory

National Provider Directory

Locations

810 N Dixie Blvd
Ste 109
Odessa, TX 79761
Phone (432) 582-2277

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384732800000",
    "number": "1730519331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4123",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797604123",
            "telephone_number": "432-582-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 N DIXIE BLVD",
            "address_2": "SUITE 109",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797612803",
            "telephone_number": "432-582-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST TEXAS MATERNAL FETAL MEDICINE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-18",
        "last_updated": "2013-11-18",
        "status": "A",
        "authorized_official_last_name": "BLANCO",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "432-413-9252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "TX",
            "license": "F3413",
            "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 Nov 18, 2013; 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.