Active NPI
Womens Wellness of West Texas
- Obstetrics & Gynecology Physician
- Odessa, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- WOMENS WELLNESS OF WEST TEXAS
- Practice address
- 617 N Tom Green Ave
Odessa, TX 79761-4525 - Phone
- (432) 333-2229
- Fax
- (855) 825-9583
- NPI assigned
- Aug 18, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lori Stafford, DO
- Title
- Physician, OBGYN
- Phone
- (432) 250-3180
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
617 N Tom Green Ave
Odessa, TX 79761-4525
Mailing address
617 N Tom Green Ave
Odessa, TX 79761-4525
Phone (432) 333-2229
Other practice location 1
3425 Caldera Blvd
Midland, TX 79707-2825
Phone (432) 337-2628
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3250888 | Medicaid | TX |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | None |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2235205 | Womens Wellness of West Texas | Certificate of waiver | Sep 6, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Odessa, TX
- NPI 1417181280
-
- Obstetrics & Gynecology Physician
- Odessa, TX
- NPI 1609133362
-
- Psychiatry Physician
- Midland, TX
- NPI 1801992920
-
- Obstetrics & Gynecology Physician
- Odessa, TX
- NPI 1255332722
-
- Family Nurse Practitioner
- San Antonio, TX
- NPI 1972027084
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629244800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708473600000",
"number": "1750057014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "617 N TOM GREEN AVE",
"city": "ODESSA",
"state": "TX",
"postal_code": "797614525",
"telephone_number": "432-333-2229",
"fax_number": "855-825-9583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "617 N TOM GREEN AVE",
"city": "ODESSA",
"state": "TX",
"postal_code": "797614525",
"telephone_number": "432-333-2229",
"fax_number": "855-825-9583"
}
],
"practiceLocations": [
{
"address_1": "3425 Caldera Blvd",
"address_purpose": "LOCATION",
"city": "Midland",
"state": "TX",
"postal_code": "797072825",
"country_code": "US",
"telephone_number": "432-337-2628",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "WOMENS WELLNESS OF WEST TEXAS",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-18",
"last_updated": "2024-02-21",
"certification_date": "2022-02-01",
"status": "A",
"authorized_official_last_name": "STAFFORD",
"authorized_official_first_name": "LORI",
"authorized_official_title_or_position": "PHYSICIAN, OBGYN",
"authorized_official_telephone_number": "432-250-3180",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3250888",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "None",
"affiliation": "N",
"endpointDescription": "None",
"address_1": "3425 Caldera Blvd",
"city": "Midland",
"state": "TX",
"country_code": "US",
"postal_code": "797072825",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Feb 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.