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Benjamin Scott Odom, LPC/APRN
Family Nurse Practitioner in Winnie, Texas
NPI 1831320456

Benjamin Scott Odom is a Family Nurse Practitioner based in Winnie, TX and is specialized in Family. Benjamin Scott Odom practices in Winnie, TX and has the professional credentials of LPC/APRN. The NPI Number for Benjamin Scott Odom is 1831320456 and holds a License No. 63792 (Texas).

The current practice location address for Benjamin Scott Odom is 538 Broadway, Winnie, TX and can be reached out via phone at 409-296-6000.

Location: 538 Broadway, Winnie, TX, 77665-7600
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831320456
Provider Name
Benjamin Scott Odom
Credential
LPC/APRN
Provider Entity Type
Individual
Gender
Male
Address
538 Broadway, Winnie, TX, 77665-7600
Phone Number
409-296-6000
Fax Number
Provider Enumeration Date
07/30/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1098056 01 TX TEXAS LICENSE APRN
institution
Provider Business Practice Location Address Details
Address
538 Broadway
City
Winnie
State
Texas
Zip
77665-7600
Phone Number
409-296-6000
Fax Number
person
Provider Business Mailing Address Details
Address
538 Broadway
City
Winnie
State
Texas
Zip
77665-7600
Phone Number
409-296-6000
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
1098056 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
63792 (Texas)
Definition
Definition to come...
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