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

ODESSA MALL FDC PA

Active Organization

ODESSA MALL FDC PA is a Dentist organization located in ODESSA, Texas. NPI 1801054044 is currently active in the NPPES registry. Verify at CMS.

Dentist · ODESSA, TX

Registration Details

NPI Number
1801054044
Provider Type
Organization
NPI Issued
May 23, 2008 (18.044892970284 yrs)
Last Updated
May 23, 2008
License
0008481 (TX)

Practice Information

Address
4101 E 42ND
STE B23
ODESSA, TX, 797627239
Browse TX providers · Browse ZIP 79762
Phone
4323634867
Fax
4323631799
Primary Specialty
Dentist
122300000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.