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Raynell Rodgers Odom, NP
Family Nurse Practitioner in Floresville, Texas
NPI 1013071448

Raynell Rodgers Odom is a Family Nurse Practitioner based in Floresville, TX and is specialized in Family. Raynell Rodgers Odom practices in Floresville, TX and has the professional credentials of NP. The NPI Number for Raynell Rodgers Odom is 1013071448 and holds a License No. 502431 (Texas).

The current practice location address for Raynell Rodgers Odom is 90 Eagle Creek Ranch Blvd, Floresville, TX and can be reached out via phone at 830-391-0877.

Location: 90 Eagle Creek Ranch Blvd, Floresville, TX, 78114-6012
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013071448
Provider Name
Raynell Rodgers Odom
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
90 Eagle Creek Ranch Blvd, Floresville, TX, 78114-6012
Phone Number
830-391-0877
Fax Number
Provider Enumeration Date
12/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12252309 01 TX CAQH
institution
Provider Business Practice Location Address Details
Address
90 Eagle Creek Ranch Blvd
City
Floresville
State
Texas
Zip
78114-9275
Phone Number
830-391-0877
Fax Number
person
Provider Business Mailing Address Details
Address
90 Eagle Creek Ranch Blvd
City
Floresville
State
Texas
Zip
78114-9275
Phone Number
830-391-0877
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
502431 (Texas)
Definition
Definition to come...
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