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Essential Family Practice Of West Texas Pllc
Family Nurse Practitioner in Odessa, Texas
NPI 1871270124

Essential Family Practice Of West Texas Pllc is a Family Nurse Practitioner based in San Antonio, TX and is specialized in Family. Essential Family Practice Of West Texas Pllc practices in Odessa, TX. The NPI Number for Essential Family Practice Of West Texas Pllc is 1871270124 and holds a License No. (Texas).

The current practice location address for Essential Family Practice Of West Texas Pllc is 6704 N Lagow Ln, Odessa, TX and can be reached out via phone at 432-978-3022.

Location: 6704 N Lagow Ln, Odessa, TX, 78258-4946
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1871270124
Provider Name
Essential Family Practice Of West Texas Pllc
Credential
Provider Entity Type
Organization
Address
6704 N Lagow Ln, Odessa, TX, 78258-4946
Phone Number
432-978-3022
Fax Number
Provider Enumeration Date
06/29/2023
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1013444892 05 TX
1962068981 05 TX
institution
Provider Business Practice Location Address Details
Address
6704 N Lagow Ln
City
Odessa
State
Texas
Zip
79762-3061
Phone Number
432-978-3022
Fax Number
person
Provider Business Mailing Address Details
Address
6704 N Lagow Ln
City
Odessa
State
Texas
Zip
79762-3061
Phone Number
432-978-3022
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
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Definition
Definition to come...
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