Organization · Type 2 NPI

Odessa Surgical Associates PA

Specialist · Odessa, TX

NPI number 1962520049 Active

Practice location

4222 Wendover Ave Ste 800
Odessa, TX 79762-5915

Fax (432) 366-3311

Specialties and licenses

Taxonomy	Code	License
Specialist Primary	174400000X	None listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

2 other providers at this address

Other specialist providers in Odessa

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NPI record

NPI: 1962520049
Entity type: Organization (Type 2)
Issued: Mar 27, 2007
Last updated: Jul 21, 2022
Status: Active
Subpart: Yes of Odessa Surgical Associates PA

Other names

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Odessa Surgical Associatespa · former legal business name

Authorized official

Dr. Terry Unruh
Owner
(432) 550-4200

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1962520049

Odessa Surgical Associates PA's National Provider Identifier is 1962520049, issued on Mar 27, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Odessa, TX. The record was last updated on Jul 21, 2022.