Permian Back Treatment Center, Pa is a
Physical Medicine & Rehabilitation based in Odessa, Texas. Permian Back Treatment Center, Pa is licensed to practice in Texas (license number ) and their current practice location is
1030 N Grandview Ave, Odessa, Texas. It can be reached at their office (for appointments etc.) via phone at
(432) 332-3388.
NPI number for Permian Back Treatment Center, Pa is 1770911299 and their current mailing address is 1030 N Grandview Ave, Odessa, Texas. Permian Back Treatment Center, Pa
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1770911299.
Healthcare Provider's Profile
Full Name | Permian Back Treatment Center, Pa |
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Type | Facility |
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Speciality | Physical Medicine & Rehabilitation |
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Location | 1030 N Grandview Ave, Odessa, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1770911299
- Provider Enumeration Date: 10/18/2013
- Last Update Date: 04/16/2014
Medical Identifiers
Medical identifiers for Permian Back Treatment Center, Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770911299 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | 5710 (Texas) | Secondary |
207LP2900X | Anesthesiology - Pain Medicine | K4046 (Texas) | Secondary |
208100000X | Physical Medicine & Rehabilitation | (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Permian Back Treatment Center, Pa is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Permian Back Treatment Center, Pa 1030 N Grandview Ave, Odessa, TX 79761-3149 Ph: (432) 332-3388 | Permian Back Treatment Center, Pa 1030 N Grandview Ave, Odessa, TX 79761-3149 Ph: (432) 332-3388 |
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