Individual
MRS. MISTY GAYLENE HORNSBY-ODOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2306 RIDGE RD, ROCKWALL, TX 75087-5140
(972) 771-8316
(972) 722-9214
Mailing address
110 THOROUGHBRED, FATE, TX 75087-6863
(469) 323-0332
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
606499
TX
Other
Enumeration date
11/02/2005
Last updated
02/01/2022
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