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Organization
ODYSSEY HEALTH CARE
Active
Organization
ODYSSEY HEALTH CARE
Active
Other names
WBAMC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA KLEBERG MD (SVP OF LEGAL AND COMPLIANCE)
(704) 664-2876
Entity
Organization
Contact information
Practice address
5005 N PIEDRAS ST, EL PASO, TX 79920-5001
(915) 569-2400
(915) 569-1960
Mailing address
655 BRAWLEY SCHOOL RD STE 200, MOORESVILLE, NC 28117-9601
(704) 664-2876
(704) 664-1306
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K6689
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001003376
—
TX
Enumeration date
10/12/2006
Last updated
11/20/2018
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