Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Advanced Neuroscience Clinic, PA

Organization Neurology Physician · NPI 1104954049

Advanced Neuroscience Clinic, PA is a Neurology Physician in Odessa, Texas. Licensed in Texas. Registered with an NPI since 2007.

Licensed in
TX
In the registry since
2007
Specialties on file
6
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

601 E 2nd St Ste E
Odessa, TX 79761-5435
Phone: (432) 570-9991
Fax: (432) 687-6299
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence L2914 (TX)
Neurology Physician Taxonomy 2084N0400X · Licence M3833 (TX)
Clinical Neurophysiology Physician Taxonomy 2084N0600X · Licence L2914 (TX)
Clinical Neurophysiology Physician Taxonomy 2084N0600X · Licence M3833 (TX)
Sleep Medicine (Psychiatry & Neurology) Physician Taxonomy 2084S0012X · Licence L2914 (TX)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA04008 (TX)

Record details

NPI number1104954049
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chad Haggerton — Business Office Mgr. · (432) 687-6203
Other names Advanced Sleep Center
NPI enumeratedMarch 1, 2007
Last updated in NPPESOctober 8, 2024
Certification dateOctober 8, 2024
Mailing addressPo Box 4100, Midland, TX 79704-4100

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