PERMIAN BASIN SURGICAL ASSOC
NPI 1114159357
Surgery in Odessa, TX

Q: What is Guadalupe Valley Surgical Associates PA's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since August 21, 2009

420 E 6TH ST STE 104, ODESSA, TX 79761(432) 333-8400(432) 333-8401 Get Directions Write a Review

NPPES record last updated: August 26, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Permian Basin Surgical Assoc NPPES

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

PERMIAN BASIN SURGICAL ASSOC (NPI 1114159357) is a healthcare organization registered as a surgery in Odessa, Texas and active in the NPI registry since August 2009. The organization lists Steven Wade Fath, Owner/md, as its authorized official.

NPPES Registry Identity

NPI1114159357

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameGUADALUPE VALLEY SURGICAL ASSOCIATES PA

Location Address420 E 6TH ST STE 104Odessa, TX 79761-4537

Mailing Address420 E 6th St Ste 104Odessa, TX 79761-4537 · (432) 333-8400 · Fax (432) 333-8401

Phone(432) 333-8400

Fax(432) 333-8401

Organization SubpartNo

Authorized OfficialSteven Wade FathOwner/md · (432) 333-8400

Enumeration DateAugust 21, 2009

Last NPPES UpdateAugust 26, 2011

✔ NPI 1114159357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in TX · K8144

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

420 E 6TH ST STE 104, Odessa, TX 79761

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Other Names 1

Doing Business AsPermian Basin Surgical Assoc

Other Identifiers 3

Medicare UPING10563TX

Medicaid040430302TX

Medicare PINTXB124226TX

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.

JUSTIN LEE BROWN D.P.M.

Podiatrist (Foot & Ankle Surgery)