Individual
ESTELA ODANIELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3533 S ALAMEDA ST, CORPUS CHRISTI, TX 78411-1721
(361) 694-5100
Mailing address
3435 S ALAMEDA ST, CORPUS CHRISTI, TX 78411-1728
(361) 855-8201
(361) 855-5381
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
L9402
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165780101
—
TX
01
—
81654S
BLUE CROSS BLUE SHIELD
TX
Enumeration date
11/09/2006
Last updated
01/10/2013
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