| Diana Casanova, M.d., P.a. | |
|
601 E 2nd St Suite F Odessa TX 79761-5423 | |
| (432) 332-1273 | |
| (432) 367-8687 |
| Full Name | Diana Casanova, M.d., P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 601 E 2nd St, Odessa, Texas |
| Authorized Official Name and Position | Diana Casanova (OWNER) |
| Authorized Official Contact | 4323321273 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diana Casanova, M.d., P.a. P O Box 13030 Odessa TX 79768-3030 Ph: (432) 332-1273 | Diana Casanova, M.d., P.a. 601 E 2nd St Suite F Odessa TX 79761-5423 Ph: (432) 332-1273 |
| NPI Number | 1407998735 |
|---|---|
| Provider Enumeration Date | 02/13/2007 |
| Last Update Date | 09/06/2012 |
| Medicare PECOS PAC ID | 4587737150 |
|---|---|
| Medicare Enrollment ID | O20080716000232 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407998735 | NPI | - | NPPES |
| 148739901 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G8798 (Texas) | Primary |
| Provider Name | Diana Casanova |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831267590 PECOS PAC ID: 3779656343 Enrollment ID: I20080716000223 |
John H. Doran,m.d., P.l.lc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 Dotsy Ave, Odessa, TX 79763 Phone: 432-333-3295 Fax: 432-333-8840 | |
Permian Women's Center, P.a Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 405 N Tom Green Ave, Odessa, TX 79761 Phone: 432-580-9876 | |
Sing Dy Uy,md Clinic Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2461-a East 11th St, Odessa, TX 79761 Phone: 432-334-8845 Fax: 432-334-8875 | |
University Prompt Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2651 Kermit Hwy, Odessa, TX 79763 Phone: 432-333-3637 | |
Scotty Ortega Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4415 Hinkle St, Odessa, TX 79762 Phone: 432-940-3240 | |
Ahmed Hassan, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 E 6th St, Odessa, TX 79761 Phone: 325-763-8473 | |
Permian Internal Medicine Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 601 E 2nd Suite A, Odessa, TX 79761 Phone: 432-332-3400 Fax: 432-332-6500 |