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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. BRENT EDWARD LAWLER SR., COTA

Active Sole Proprietor

MR. BRENT EDWARD LAWLER SR., COTA is a Skilled Nursing Facility healthcare provider located in ODESSA, Texas. NPI 1780035667 is currently active in the NPPES registry. Verify at CMS.

Skilled Nursing Facility · ODESSA, TX

Registration Details

NPI Number
1780035667
Provider Type
Individual
Gender
Male
NPI Issued
Jun 22, 2016 (10.120866143212 yrs)
Last Updated
Jun 22, 2016
Licenses
213085 (TX)
14174 (FL)
Sole Proprietor
Yes

Practice Information

Address
2508 ADAMS AVE
ODESSA, TX, 797611349
Browse TX providers · Browse ZIP 79761
Phone
7275108719
Primary Specialty
Skilled Nursing Facility
314000000X
Additional Specialty
Skilled Nursing Facility
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.