Individual
BETTY ODEYINGBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3701 IRA E WOODS AVE, GRAPEVINE, TX 76051-4213
(502) 644-9174
Mailing address
6469 RIVIERA DR, IRVING, TX 75039-4160
(502) 644-9174
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP125457
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
API25457
TX
Other
Enumeration date
04/14/2014
Last updated
07/29/2026
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