ODESSA SURGICAL ASSOCIATES PA
NPI 1962520049
Specialist in Odessa, TX

Active since March 27, 2007
4222 WENDOVER AVE STE 800, ODESSA, TX 79762(432) 550-4200(432) 366-3311 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Odessa Surgical Associates Pa NPPES

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

ODESSA SURGICAL ASSOCIATES PA (NPI 1962520049), doing business as Odessa Surgical Associatespa, is a healthcare organization registered as a specialist in Odessa, Texas and active in the NPI registry since March 2007. The organization lists Terry Unruh, Owner, as its authorized official.

NPPES Registry Identity

NPI1962520049
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameODESSA SURGICAL ASSOCIATES PA
Location Address4222 WENDOVER AVE STE 800Odessa, TX 79762-5915
Mailing Address4222 Wendover Ave Ste 800Odessa, TX 79762-5915 · (432) 550-4200 · Fax (432) 366-3311
Fax(432) 366-3311
Organization SubpartYes
Authorized OfficialTerry UnruhOwner · (432) 550-4200
Enumeration DateMarch 27, 2007
Last NPPES UpdateJuly 21, 2022
NPI 1962520049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4222 WENDOVER AVE STE 800, Odessa, TX 79762

Other Names 1

Former Legal Business NameOdessa Surgical Associatespa

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 2

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

Ophthalmology
4222 WENDOVER AVE STE 800
ODESSA, TX 79762
Ophthalmology
4222 WENDOVER AVE STE 800
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 Odessa Surgical Associates PA's NPI number?

The NPI number for Odessa Surgical Associates PA is 1962520049. It was assigned to this organization in the NPPES registry on March 27, 2007. The provider was formerly known as Odessa Surgical Associatespa.

Where is Odessa Surgical Associates PA located?

Odessa Surgical Associates PA is located at 4222 Wendover Ave Ste 800, Odessa, TX 79762. The listed phone number is (432) 550-4200.

What is Odessa Surgical Associates PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Odessa Surgical Associates PA was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.