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Advanced Neuroscience Clinic, PA

Neurology Physician in Odessa, TX · enumerated 2007 · authorized official Chad Haggerton, Business Office Mgr..

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104954049

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Registry record

Entity type Organization (Type 2)
Legal business name Advanced Neuroscience Clinic, PA
Other name <Unavail>
Practice address 601 E 2nd St Ste E, Odessa, TX, 79761
Fax (432) 687-6299
Enumeration date Mar 1, 2007
Last updated in NPPES Oct 8, 2024

Taxonomy & classification

2084N0400X Neurology Physician Allopathic & Osteopathic Physicians · License L2914 (TX) Primary
2084N0400X Neurology Physician Allopathic & Osteopathic Physicians · License M3833 (TX) Secondary
2084N0600X Clinical Neurophysiology Physician Allopathic & Osteopathic Physicians · License L2914 (TX) Secondary
2084N0600X Clinical Neurophysiology Physician Allopathic & Osteopathic Physicians · License M3833 (TX) Secondary
2084S0012X Sleep Medicine (Psychiatry & Neurology) Physician Allopathic & Osteopathic Physicians · License L2914 (TX) Secondary
363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA04008 (TX) Secondary

Authorized official

Name Chad Haggerton
Title Business Office Mgr.

Other identifiers

Identifier Type State Issuer
149225801 Medicaid TX -
0018HQ Other TX BCBS NUMBER

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is Advanced Neuroscience Clinic, PA?
Advanced Neuroscience Clinic, PA is registered in NPPES as a Neurology Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-10-08.