Organization
ADVANCE ODLING PROSTHETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC ODLING (OWNER)
(254) 883-2003
Entity
Organization
Contact information
Practice address
1204 WALKER ROAD, MARLIN, TX 76661-0021
(254) 883-2003
(254) 883-2427
Mailing address
PO BOX 21, MARLIN, TX 76661-0021
(254) 883-2003
(254) 883-2427
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
101273
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205849701
—
TX
Enumeration date
06/04/2009
Last updated
02/11/2010
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