Odom, Lisa Gaile

Odom, Lisa Gaile is an individual health care provider with primary practice located at 1353 N Travis St , Liberty TX 77575-3549. She recently has 5 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Nursing Service Providers / Emergency, Nursing Service Providers / Flight, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Emergency. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Odom, Lisa Gaile can be contacted via phone (936) 336-7316.

Contact Information

Primary practice address
1353 N Travis St Liberty TX 77575-3549
Phone: (936) 336-7316
Fax: (936) 336-2280
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X 658834 Texas
Nursing Service Providers / Emergency 163WE0003X 658834 Texas
Nursing Service Providers / Flight 163WF0300X 658834 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 658834 Texas
Physician Assistants & Advanced Practice Nursing Providers / Emergency 364SE0003X 658834 Texas

Profile Details

NPI number 1992988539
LBN Legal business name Odom, Lisa Gaile
Credentials APRN-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2007
Last updated Dec 5th, 2007 - about 17 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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