PHYSICIAN MANAGEMENT SERVICES OF WESTERN TEXAS, LLC
NPI 1801302617
Family Medicine in Odessa, TX

Active since December 18, 2017
4222 WENDOVER AVE STE 600, ODESSA, TX 79762(888) 829-8550(888) 829-8550 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 25, 2021, Dec 18, 2017 (2 updates tracked since 2017).

About Physician Management Services Of Western Texas, Llc NPPES

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

PHYSICIAN MANAGEMENT SERVICES OF WESTERN TEXAS, LLC (NPI 1801302617) is a healthcare organization registered as a family medicine in Odessa, Texas and active in the NPI registry since December 2017. The organization lists Brett Kenefick, President, as its authorized official.

NPPES Registry Identity

NPI1801302617
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePHYSICIAN MANAGEMENT SERVICES OF WESTERN TEXAS, LLC
Location Address4222 WENDOVER AVE STE 600Odessa, TX 79762-5983
Mailing Address3113 Lawton Rd Ste 250Orlando, FL 32803-3517 · (888) 829-8550
Fax(888) 829-8550
Organization SubpartYesParent: Vaxcare Corporation
Authorized OfficialBrett KenefickPresident · (888) 829-8550
Enumeration DateDecember 18, 2017
Last NPPES UpdateMarch 25, 20212 updates tracked since enumeration
NPPES CertifiedMarch 25, 2021
NPI 1801302617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4222 WENDOVER AVE STE 600, Odessa, TX 79762

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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

Family Medicine
4222 WENDOVER AVE STE 600
ODESSA, TX 79762
Physician Assistant
4222 WENDOVER AVE STE 600
ODESSA, TX 79762
Nurse Practitioner (Family)
4222 WENDOVER AVE STE 600
ODESSA, TX 79762

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 Physician Management Services Of Western Texas, LLC's NPI number?

The NPI number for Physician Management Services Of Western Texas, LLC is 1801302617. It was assigned to this organization in the NPPES registry on December 18, 2017.

Where is Physician Management Services Of Western Texas, LLC located?

Physician Management Services Of Western Texas, LLC is located at 4222 Wendover Ave Ste 600, Odessa, TX 79762. The listed phone number is (888) 829-8550.

What is Physician Management Services Of Western Texas, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Physician Management Services Of Western Texas, LLC was last updated on March 25, 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.