| NPI | 1053435362 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2007-03-19 |
| Last Updated | 2008-04-14 |
| Authorized Official | Donald Davenport owner physician Phone: 4325808330 |
| Mailing Address | 540 W 5th St Ste 470 Odessa, TX 79761-5070 United States Phone: (432) 580-8330 | Fax: (432) 580-8333 📍 View Map |
| Primary Practice Address | 540 W 5th St Ste 470 Odessa, TX 79761-5070 United States Phone: (432) 580-8330 | Fax: (432) 580-8333 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | TX | 0017HG | group # bcbs |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 208C00000X – Colon & Rectal Surgery | TX | L0118 |
| No | 208600000X – Surgery | TX | L0118 |
| No | 2086S0120X – Surgery, Pediatric Surgery | TX | L0118 |
| No | 2086X0206X – Surgery, Surgical Oncology | TX | L0118 |
| No | 2086S0127X – Surgery, Trauma Surgery | TX | L0118 |
| Yes | 2086S0102X – Surgery, Surgical Critical Care | TX | L0118 |
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About NPI 1053435362
Donald D Davenport Jr D O P A is an organization registered in the CMS NPPES NPI Registry with NPI number 1053435362. The primary specialty listed is Surgery, Surgical Critical Care. The organization is located in Odessa, TX. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-03-19. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1053435362?
NPI 1053435362 belongs to Donald D Davenport Jr D O P A, a Surgery, Surgical Critical Care in Odessa, TX. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1053435362 active?
The current status of NPI 1053435362 in the NPPES registry is Active. The record was last updated on 2008-04-14.
What specialty is NPI 1053435362?
NPI 1053435362 is classified under the taxonomy Surgery, Surgical Critical Care. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1053435362?
You can verify NPI 1053435362 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1053435362?
The primary practice address on file for NPI 1053435362 is 540 W 5th St Ste 470, Odessa, TX 79761-5070. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1053435362 issued?
NPI 1053435362 was first issued (enumerated) on 2007-03-19. The NPPES record was last updated on 2008-04-14.
Practice Location Map
Donald D Davenport Jr D O P A is located at 540 W 5th St Ste 470, Odessa, TX. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Donald D Davenport Jr D O P A. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1053435362. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Colon & Rectal Surgery | L0118 | TX |
| Surgery | L0118 | TX |
| Surgery, Pediatric Surgery | L0118 | TX |
| Surgery, Surgical Oncology | L0118 | TX |
| Surgery, Trauma Surgery | L0118 | TX |
| Surgery, Surgical Critical Care | L0118 | TX |