DONALD D DAVENPORT JR D O P A
NPI 1053435362
Surgery - Surgical Critical Care in Odessa, TX

Active since March 19, 2007
540 W 5TH ST STE 470, ODESSA, TX 79761(432) 580-8330(432) 580-8333 Get Directions Write a Review

NPPES record last updated: April 14, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Donald D Davenport Jr D O P A NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DONALD D DAVENPORT JR D O P A (NPI 1053435362) is a healthcare organization registered as a surgical critical care in Odessa, Texas and active in the NPI registry since March 2007. The organization lists Donald D Davenport, Owner Physician, as its authorized official.

NPPES Registry Identity

NPI1053435362
Entity TypeOrganization
Primary Taxonomy2086S0102X
Legal Business NameDONALD D DAVENPORT JR D O P A
Location Address540 W 5TH ST STE 470Odessa, TX 79761-5070
Mailing Address540 W 5th St Ste 470Odessa, TX 79761-5070 · (432) 580-8330 · Fax (432) 580-8333
Fax(432) 580-8333
Organization SubpartNo
Authorized OfficialDonald D DavenportOwner Physician · (432) 580-8330
Enumeration DateMarch 19, 2007
Last NPPES UpdateApril 14, 2008
NPI 1053435362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians
Taxonomy Code2086S0102X
License Licensed in TX · L0118
Definition

A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedSurgeryTaxonomy 208600000X · License L0118 (TX)
Also ListedSurgery · Pediatric SurgeryTaxonomy 2086S0120X · License L0118 (TX)
Also ListedSurgery · Trauma SurgeryTaxonomy 2086S0127X · License L0118 (TX)
Also ListedSurgery · Surgical OncologyTaxonomy 2086X0206X · License L0118 (TX)
Also ListedColon & Rectal SurgeryTaxonomy 208C00000X · License L0118 (TX)
540 W 5TH ST STE 470, Odessa, TX 79761

Other Identifiers 3

Other0017HGTX · Group # Bcbs
Medicare ID-Type Unspecified00455QTX · Mcare
Medicare UPINH24490TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery
540 W 5TH ST STE 470
ODESSA, TX 79761
Surgery
540 W 5TH ST STE 470
ODESSA, TX 79761
540 W 5TH ST STE 470
ODESSA, TX 79761
Surgery
540 W 5TH ST STE 470
ODESSA, TX 79761
Surgery
540 W 5TH ST STE 470
ODESSA, TX 79761

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Donald D Davenport Jr D O P A's NPI number?

The NPI number for Donald D Davenport Jr D O P A is 1053435362. It was assigned to this organization in the NPPES registry on March 19, 2007.

Where is Donald D Davenport Jr D O P A located?

Donald D Davenport Jr D O P A is located at 540 W 5th St Ste 470, Odessa, TX 79761. The listed phone number is (432) 580-8330.

What is Donald D Davenport Jr D O P A's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

When was this NPI record last updated?

The NPPES record for Donald D Davenport Jr D O P A was last updated on April 14, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.