Individual
BENJAMIN SCOTT ODOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC/APRN
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
63792
TX
363LF0000X
Family Nurse Practitioner
Primary
1098056
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1098056
TEXAS LICENSE APRN
TX
Enumeration date
07/30/2009
Last updated
01/19/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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