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

Sole Proprietor

Organization Student in an Organized Health Care Education/Training Program · NPI 1215462627

Sole Proprietor is a Student in an Organized Health Care Education/Training Program in Odessa, Texas. Registered with an NPI since 2017.

In the registry since
2017
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Practice location Address checks out

701 W 5th St
Odessa, TX 79763-4206
Phone: (432) 620-1048
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1215462627
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shahzad Choudhry — Resident · (432) 620-1048
NPI enumeratedApril 23, 2017
Last updated in NPPESApril 23, 2017
Mailing address701 W 5th St, Odessa, TX 79763-4206

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