Individual
ERIC ROY ODLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LP
Contact information
Practice address
1204 WALKER ROAD, MARLIN, TX 76661-0021
(254) 883-2003
(254) 883-2427
Mailing address
PO BOX 21, MARLIN, TX 76661-0021
(254) 883-2003
(254) 883-2427
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
101273
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101273
LC#
TX
Enumeration date
03/05/2008
Last updated
08/04/2014
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