1699776567 NPI number — ODYSSEY HEALTHCARE OPERATING A LP

Table of content: AMBER MICHELLE TAYLOR APRN (NPI 1356945331)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1699776567 NPI number — ODYSSEY HEALTHCARE OPERATING A LP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ODYSSEY HEALTHCARE OPERATING A LP
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1699776567
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/01/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
717 N HARWOOD ST
Provider Second Line Business Mailing Address:
SUITE 1500
Provider Business Mailing Address City Name:
DALLAS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75201-6519
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
214-922-9711
Provider Business Mailing Address Fax Number:
214-922-9752

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1330 EAST 8TH STREET
Provider Second Line Business Practice Location Address:
SUITE 410
Provider Business Practice Location Address City Name:
ODESSA
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79761-4733
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
432-552-1400
Provider Business Practice Location Address Fax Number:
432-333-3702
Provider Enumeration Date:
08/02/2005

Additional Information

Authorized Official

Authorized Official Last Name:
ALLISON
Authorized Official First Name:
RODNEY
Authorized Official Middle Name:
DIRK
Authorized Official Title or Position:
SR VP AND CFO
Authorized Official Telephone Number:
214-922-9711

Provider Taxonomy Codes

  • Taxonomy code: 251G00000X , with the licence number:  008309 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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