Elise Odom
Dental Assistant
2701 S 77 Sunshinestrip
Harlingen
, Texas 78550-8318
Elise Odom
Dental Assistant
2701 S 77 Sunshinestrip
Harlingen
, Texas 78550-8318
(956) 430-9373
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About
Features
Specialties
- Dental Assistant
Languages spoken
- English
Location
First Address
- Elise Odom
- 105 Dickey St
- Fort Polk, LA
- Zip : 71459-3546
- Fax : (956) 430-9373
- Phone : (956) 430-9355
Second Address
- Elise Odom
- 2701 S 77 Sunshinestrip
- Harlingen, TX
- Zip : 78550-8318
- Fax : (956) 430-9373
- Phone : (956) 430-9355
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In what state does Elise Odom practice in?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | 35682 | TX |
National Provider Identifier
| NPI | 1194256115 |
|---|---|
| Provider Name | Elise Odom |
| First Address | Fort Polk, LA 71459-3546 |
| Second Address | Harlingen, TX 78550-8318 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/03/2017 |
| Last Update Date | 22/03/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.