Charles A Odom Pc in Laredo - Nurse Anesthetist, Certified Registered
Charles A Odom Pc - NPI 1124126115
Charles A Odom Pc is a Nurse Anesthetist, Certified Registered in Laredo, Texas. Charles A Odom Pc practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Charles A Odom Pc is 1124126115. The last update date is 2020-08-22.
Charles A Odom Pc's current location address is 5313 Mcpherson Rd, Laredo, Texas. You can contact this provider via phone number 9567958310 and fax number 9567958313. The mailing address for Charles A Odom Pc is 5313 Mcpherson Rd, Laredo, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Charles A Odom Pc |
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Address | 5313 Mcpherson Rd, Laredo, Texas |
Phone Number | 9567958310 |
Fax Number | 9567958313 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER |
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Authorized Official Name | Odom A Charles |
Credentials | CRNA |
Telephone Number | 9567254003 |
NPI Number Detail
NPI Number | 1124126115 |
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Provider Enumeration Date | 2006-09-21 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 5313 Mcpherson Rd |
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City | Laredo |
State | Texas (TX) |
Post Code | 78041 |
Phone Number | 9567958310 |
Fax Number | 9567958313 |
Provider's Primary Taxonomy Detail
Speciality | Nurse Anesthetist, Certified Registered |
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Taxonomy | 367500000X |
Licence No | 221707 |
Definition: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
00C85S | TX | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Charles A Odom Pc by the Centers for Medicare & Medicaid Services?
The Charles A Odom Pc has been issued the NPI (National Provider Identifier) 1124126115, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Charles A Odom Pc's physical address?
The Charles A Odom Pc is physically located at 5313 Mcpherson Rd, in the city of Laredo, TX, with the postal code 78041.
What is Charles A Odom Pc's area of expertise and its corresponding taxonomy classification?
The Charles A Odom Pc's field of specialization is Nurse Anesthetist, Certified Registered, and it falls under the taxonomy code 367500000X, which categorizes healthcare providers based on their areas of practice.
When did Charles A Odom Pc receive its 1124126115 assignment?
The Charles A Odom Pc was assigned its 1124126115 on 2006-09-21, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Charles A Odom Pc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Charles A Odom Pc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.