| NPI | 1962520049 |
|---|---|
| Former Legal Business Name | ODESSA SURGICAL ASSOCIATESPA |
| Entity Type | Organization |
| Authorized Contact | TERRY UNRUH Owner 432-550-4200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2022-07-21 |