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PERMIAN FAMILY CLINIC
NPI 1578684197
Nurse Practitioner - Family in Odessa, TX

Active since April 02, 2007
4039 E 42ND ST, ODESSA, TX 79762(432) 362-8400(432) 362-8407 Get Directions Write a Review

NPPES record last updated: January 17, 2008. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Permian Family Clinic NPPES

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

PERMIAN FAMILY CLINIC (NPI 1578684197) is a healthcare organization registered as a family in Odessa, Texas and active in the NPI registry since April 2007. The organization lists Ronell Jean Carlson, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1578684197
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NamePERMIAN FAMILY CLINIC
Location Address4039 E 42ND STOdessa, TX 79762-5935
Mailing Address509 Delmar St, Apt 402Midland, TX 79703-5572 · (432) 362-8400 · Fax (432) 362-8407
Phone(432) 362-8400
Fax(432) 362-8407
Organization SubpartNo
Authorized OfficialRonell Jean CarlsonNurse Practitioner · (432) 362-8400
Enumeration DateApril 2, 2007
Last NPPES UpdateJanuary 17, 2008
✔ NPI 1578684197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 532880
4039 E 42ND ST, Odessa, TX 79762
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Other Identifiers 3

Other8N5086TX · Bcbs
Medicare UPINS68706TX
Medicare PIN00719WTX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 Permian Family Clinic's NPI number?

The NPI number for Permian Family Clinic is 1578684197. It was assigned to this organization in the NPPES registry on April 2, 2007.

Where is Permian Family Clinic located?

Permian Family Clinic is located at 4039 E 42nd St, Odessa, TX 79762. The listed phone number is (432) 362-8400.

What is Permian Family Clinic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Permian Family Clinic was last updated on January 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.