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WEST TEXAS DIABETES AND ENDOCRINE CENTER PA
NPI 1891900080
Family Medicine - Adult Medicine in Odessa, TX

Active since May 11, 2007
318 N ALLEGHANEY AVE STE 201, ODESSA, TX 79761(432) 332-1144(432) 337-2726 Get Directions Write a Review

NPPES record last updated: January 11, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About West Texas Diabetes And Endocrine Center Pa NPPES

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

WEST TEXAS DIABETES AND ENDOCRINE CENTER PA (NPI 1891900080) is a healthcare organization registered as an adult medicine in Odessa, Texas and active in the NPI registry since May 2007. The organization lists Muralidhar Agusala, Administrator, as its authorized official.

NPPES Registry Identity

NPI1891900080
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameWEST TEXAS DIABETES AND ENDOCRINE CENTER PA
Location Address318 N ALLEGHANEY AVE STE 201Odessa, TX 79761-5027
Mailing Address318 N Alleghaney Ave Ste 201Odessa, TX 79761-5027 · (432) 332-1144 · Fax (432) 337-2726
Phone(432) 332-1144
Fax(432) 337-2726
Organization SubpartYes
Authorized OfficialMuralidhar AgusalaAdministrator · (432) 332-1144
Enumeration DateMay 11, 2007
Last NPPES UpdateJanuary 11, 2011
✔ NPI 1891900080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in TX · K3962
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
Also ListedSpecialistTaxonomy 174400000X · License K6230 (TX), K6228 (TX)
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License J1178 (TX)
318 N ALLEGHANEY AVE STE 201, Odessa, TX 79761
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Other Identifiers 6

Medicare ID-Type Unspecified00349KTX
Medicare PIN00450LTX
Medicaid030349701TX
Medicare PIN0A3984
Medicaid080422101TX
Medicaid126502701TX

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

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 Diabetes And Endocrine Center PA's NPI number?

The NPI number for West Texas Diabetes And Endocrine Center PA is 1891900080. It was assigned to this organization in the NPPES registry on May 11, 2007.

Where is West Texas Diabetes And Endocrine Center PA located?

West Texas Diabetes And Endocrine Center PA is located at 318 N Alleghaney Ave Ste 201, Odessa, TX 79761. The listed phone number is (432) 332-1144.

What is West Texas Diabetes And Endocrine Center PA's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

When was this NPI record last updated?

The NPPES record for West Texas Diabetes And Endocrine Center PA was last updated on January 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.