O'Dell, Michael

O'Dell, Michael is an individual health care provider with primary practice located at 208 Gaslight Blvd , Lufkin TX 75904-3166. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. O'Dell, Michael can be contacted via phone (936) 634-8800.

Contact Information

Primary practice address
208 Gaslight Blvd Lufkin TX 75904-3166
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA01789 Texas

Profile Details

NPI number 1417969007
LBN Legal business name O'Dell, Michael
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2006
Last updated Jan 25th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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