Individual
DR. ELIZABETH ANNE ODSTRCIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3417 GASTON AVENUE, SUITE 790, DALLAS, TX 75246
(214) 821-5266
(214) 821-0459
Mailing address
7610 N STEMMONS FWY STE 600, DALLAS, TX 75247-4228
(214) 689-5960
(469) 713-8084
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
N1028
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210543901
—
TX
01
—
8CA798
BCBSTX
TX
Enumeration date
05/29/2007
Last updated
09/25/2020
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