Guadalupe Valley Surgical Associates PA

NPI #1114159357 in Odessa, Texas

Provider Information

NPI Number
1114159357
Entity Type
Organization
Organization Name
Guadalupe Valley Surgical Associates PA
Primary Specialty
Surgery
Enumeration Date
Aug 21, 2009
Last Updated
Aug 26, 2011

Practice Location

Address
420 E 6TH ST STE 104
City
Odessa
State
Texas
ZIP Code
79761-4537
Phone
(432) 333-8400

Authorized Official

Name
DR. STEVEN WADE FATH, MD
Title
OWNER/MD
Phone
(432) 333-8400

Specialties & Taxonomy Codes

Specialty
Surgery

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