Individual
JAMES D ODOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN CPNP
Contact information
Practice address
1605 W FRANK AVE, LUFKIN, TX 75904
(936) 634-9233
(936) 634-9353
Mailing address
PO BOX 150638, LUFKIN, TX 75915
(936) 634-9233
(936) 634-9353
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
549974
TX
Other
Enumeration date
09/08/2006
Last updated
07/08/2007
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