| Organization Name: | PERMIAN PHYSICIAN SERVICES |
| NPI Number: | 1427297134 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RUSSELL TIPPIN (CEO) |
| Mailing Address: | 704 Hospital Dr Andrews |
| State: | TX US |
| Postal Code: | 797143617 |
| Phone Number: | 4324642377 |
| Fax Number: | 4324642563 |
| NPI Enumeration Date: | 02/19/2009 |
| NPI Last Update Date: | 07/21/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |