Compass Pediatrics, Pllc

LBN: Compass Pediatrics, Pllc
Compass Pediatrics, Pllc is an health care organization with primary practice located at 6100 Eastridge Rd , Odessa TX 79762-5002. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Compass Pediatrics, Pllc can be contacted via phone (432) 332-2080, or through Bavousett, Tamara Rachelle via phone (432) 332-2080.

Contact Information

Primary practice address
6100 Eastridge Rd Odessa TX 79762-5002
Fax: (866) 298-7237
Website:
Authorized official contact:
Name: Bavousett, Tamara Rachelle DNP, RN, C-PNP

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 657564 Texas

Profile Details

NPI number 1306152103
LBN Legal business name Compass Pediatrics, Pllc
DBA Doing business as
Authorized official Bavousett, Tamara Rachelle DNP, RN, C-PNP
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2010
Last updated Apr 1st, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306152103 NPPES
Texas MEDICAID 214730801

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