Permian Healthcare Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PERMIAN HEALTHCARE INC

Practice address

620 N Grant Ave
Suite 100
Odessa, TX 79761-4541

Phone

(432) 580-7707

Fax

(432) 580-7937

NPI assigned

Apr 5, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Madhu Kovelamudi

Title

President

Phone

(432) 580-7707

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Star Oxygen & Medical Equipment Inc Doing business as

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191196800000",
    "number": "1891757753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 N GRANT AVE",
            "address_2": "SUITE 100",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614541",
            "telephone_number": "432-580-7707",
            "fax_number": "432-580-7937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 N GRANT AVE",
            "address_2": "SUITE 100",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614541",
            "telephone_number": "432-580-7707",
            "fax_number": "432-580-7937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERMIAN HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-05",
        "last_updated": "2007-10-01",
        "status": "A",
        "authorized_official_last_name": "KOVELAMUDI",
        "authorized_official_first_name": "MADHU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "432-580-7707",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16870001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Star Oxygen & Medical Equipment Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Permian Endoscopy Center
• Permian ER III, LLC.
• Permian Family Clinic
• Permian Gastroenterology Associates LLP
• Permian Hand and Plastic Surgery PLLC
• Permian Imaging LLC
• Permian Nephrology Associates PA
• Permian Orthopaedic Associates
• Permian Pathology Assoc
• Permian Pediatrics PA

• Durable Medical Equipment & Medical Supplies in Odessa, TX
• Providers in Odessa, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.