Provider Demographics
NPI:1225643406
Name:OCCUPATIONAL HEALTHCARE PLUS, PLLC
Entity Type:Organization
Organization Name:OCCUPATIONAL HEALTHCARE PLUS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DAYDRE
Authorized Official - Middle Name:
Authorized Official - Last Name:PALLARES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:432-307-6331
Mailing Address - Street 1:835 TOWER DR
Mailing Address - Street 2:STE 7
Mailing Address - City:ODESSA
Mailing Address - State:TX
Mailing Address - Zip Code:79761-4251
Mailing Address - Country:US
Mailing Address - Phone:432-307-6331
Mailing Address - Fax:833-316-1957
Practice Address - Street 1:835 TOWER DR
Practice Address - Street 2:STE 7
Practice Address - City:ODESSA
Practice Address - State:TX
Practice Address - Zip Code:79761-4251
Practice Address - Country:US
Practice Address - Phone:432-307-6331
Practice Address - Fax:833-316-1957
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-14
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine