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Individual

CLARITA V ODVINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7208
(214) 645-2870
(214) 645-2871
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 645-2870
(214) 645-2871

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
K6899
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036839101
TX
Enumeration date
04/04/2006
Last updated
01/23/2008
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