Organization
ODOMRD, LLC
Active
Other names
OdomRD Dietitian Consultants
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TABITHA HELD ODOM MPH RD LD (CEO/OWNER)
(325) 262-2133
Entity
Organization
Contact information
Practice address
2533 COLORADO AVE, SAN ANGELO, TX 76904-3653
(325) 262-2133
Mailing address
2533 COLORADO AVE, SAN ANGELO, TX 76904-3653
(325) 262-2133
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT81387
TX
133V00000X
Registered Dietitian
DT83185
TX
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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