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WEST TEXAS PEDIATRIC SUBSPECIALTY GROUP
NPI 1366037319
Pediatrics - Pediatric Cardiology in Odessa, TX

Active since March 02, 2021
500 W 4TH ST, ODESSA, TX 79761(432) 640-1790 Get Directions Write a Review

NPPES record last updated: March 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About West Texas Pediatric Subspecialty Group NPPES

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

WEST TEXAS PEDIATRIC SUBSPECIALTY GROUP (NPI 1366037319) is a healthcare organization registered as a pediatric cardiology in Odessa, Texas and active in the NPI registry since March 2021. The organization lists Victor York Levy, Ceo, as its authorized official.

NPPES Registry Identity

NPI1366037319
Entity TypeOrganization
Primary Taxonomy2080P0202X
Legal Business NameWEST TEXAS PEDIATRIC SUBSPECIALTY GROUP
Location Address500 W 4TH STOdessa, TX 79761-5001
Mailing Address2533 Rogers AveFort Worth, TX 76109-1348 · (817) 228-3947
Phone(432) 640-1790
Organization SubpartNo
Authorized OfficialVictor York LevyCeo · (817) 228-3947
Enumeration DateMarch 2, 2021
NPPES CertifiedMarch 2, 2021
✔ NPI 1366037319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Also ListedPediatricsTaxonomy 208000000X
Also ListedPediatrics · Neonatal-Perinatal MedicineTaxonomy 2080N0001X
500 W 4TH ST, Odessa, TX 79761
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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 20

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

BENEDICT CASTANARES NOVICIO CRNA
Nurse Anesthetist, Certified Registered
500 W 4TH ST
ODESSA, TX 79761
Ector County (432) 640-2408
ALICIA G. FLETCHER ACNS-BC
Clinical Nurse Specialist (Adult Health)
500 W 4TH ST
ODESSA, TX 79761
Ector County (432) 640-2128
ASHLEY GOODGAME
Registered Nurse (Psychiatric/Mental Health)
500 W 4TH ST
ODESSA, TX 79761
Ector County (432) 889-8908
ABHISHEK BHARI JAYADEVAPPA M.D.
Anesthesiology
500 W 4TH ST
ODESSA, TX 79761
Ector County (432) 640-4000
DR. BRUCE CARL BECKER II M.D.
Family Medicine
500 W 4TH ST
ODESSA, TX 79761
Ector County (432) 640-1059
ABIDEMI YEMISI ADENIRAN FNP
Nurse Practitioner (Family)
500 W 4TH ST
ODESSA, TX 79761
Ector County (432) 640-2401
JOSEPH F BRYAN M.D.
Anesthesiology
500 W 4TH ST
ODESSA, TX 79761
Ector County (432) 640-2401
JEFFERY M PINNOW M.D.
Emergency Medicine (Emergency Medical Services)
500 W 4TH ST
ODESSA, TX 79761
Ector County (432) 640-4000

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 West Texas Pediatric Subspecialty Group's NPI number?

The NPI number for West Texas Pediatric Subspecialty Group is 1366037319. It was assigned to this organization in the NPPES registry on March 2, 2021.

Where is West Texas Pediatric Subspecialty Group located?

West Texas Pediatric Subspecialty Group is located at 500 W 4th St, Odessa, TX 79761. The listed phone number is (432) 640-1790.

What is West Texas Pediatric Subspecialty Group's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

When was this NPI record last updated?

The NPPES record for West Texas Pediatric Subspecialty Group was last updated on March 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.