Candice Bourgeois Odom in Houston - Audiologist
Candice Bourgeois Odom - NPI 1174794192
Candice Bourgeois Odom is a Audiologist in Houston, Texas. Candice Bourgeois Odom practices all healthcare services and medical treatments related to Audiologist. The NPI Number for Candice Bourgeois Odom is 1174794192. The last update date is 2021-08-09.
Candice Bourgeois Odom's current location address is 10740 N Gessner Dr, Houston, Texas. You can contact this provider via phone number 2818970416 and fax number 2818908890. The mailing address for Candice Bourgeois Odom is 10740 N Gessner Dr, Houston, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Candice Bourgeois Odom |
|---|---|
| Address | 10740 N Gessner Dr, Houston, Texas |
| Phone Number | 2818970416 |
| Fax Number | 2818908890 |
| Sole Proprietor | N |
| Credentials | M.S., CCC/ |
NPI Number Detail
| NPI Number | 1174794192 |
|---|---|
| Provider Enumeration Date | 2008-03-18 |
| Last Updated Date | 2021-08-09 |
Provider Mailing Address Detail
| Address | 10740 N Gessner Dr |
|---|---|
| City | Houston |
| State | Texas (TX) |
| Post Code | 770641240 |
| Phone Number | 2818970416 |
| Fax Number | 2818908890 |
Provider's Primary Taxonomy Detail
| Speciality | Audiologist |
|---|---|
| Taxonomy | 231H00000X |
| Licence No | 51570 |
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Definition: (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditor |
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What is the unique 10-digit identification code issued to Candice Bourgeois Odom by the Centers for Medicare & Medicaid Services?
The Candice Bourgeois Odom has been assigned the NPI (National Provider Identifier) 1174794192 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Candice Bourgeois Odom's physical address?
The Candice Bourgeois Odom is physically located at 10740 N Gessner Dr, in the city of Houston, TX, with the postal code 770641240.
What is Candice Bourgeois Odom's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Candice Bourgeois Odom is Audiologist, and the corresponding taxonomy classification code for this specialized field is 231H00000X.
On what date was the 1174794192 assigned to Candice Bourgeois Odom?
The Candice Bourgeois Odom was issued its 1174794192 on 2008-03-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Candice Bourgeois Odom's information last updated?
The Candice Bourgeois Odom's information was last updated on 2021-08-09.