Organization
JACQUELINE S O'DONALD, M.D., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA ANN CARLTON CCA, CMIS (INSURANCE/BILLING)
(903) 831-3033
Entity
Organization
Contact information
Practice address
3510 RICHMOND RD STE 100, TEXARKANA, TX 75503-0712
(903) 831-3033
(903) 831-3032
Mailing address
3510 RICHMOND ROAD, STE 100, TEXARKANA, TX 75503-0712
(903) 831-3033
(903) 831-3032
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
L3496
TX
Other
Enumeration date
07/15/2010
Last updated
10/22/2010
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