Crystal Odoms, | |
2001 S Medford Dr, Lufkin, TX 75901-6260 | |
(936) 633-5672 | |
Not Available |
Full Name | Crystal Odoms |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 2001 S Medford Dr, Lufkin, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164811329 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 55568 (Texas) | Primary |
Entity Name | Burke Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396792420 PECOS PAC ID: 1254312077 Enrollment ID: O20040527000661 |
Entity Name | Westbury Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649659848 PECOS PAC ID: 0143524801 Enrollment ID: O20160201002251 |
Entity Name | Westbury Healthcare Solutions Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649659848 PECOS PAC ID: 6305217498 Enrollment ID: O20230127002554 |
Mailing Address | Practice Location Address |
---|---|
Crystal Odoms, 2001 S Medford Dr, Lufkin, TX 75901-6260 Ph: (936) 633-5672 | Crystal Odoms, 2001 S Medford Dr, Lufkin, TX 75901-6260 Ph: (936) 633-5672 |
Allison Ann James, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1320 Crooked Creek Dr, Lufkin, TX 75904 Phone: 936-414-2249 | |
Sherene Bell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1522 W Frank Ave, Lufkin, TX 75904 Phone: 936-639-2384 Fax: 936-633-5695 | |
Kenneth Ray Placke, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4101 S Medford Dr, Lufkin, TX 75901 Phone: 936-639-1141 | |
Gloria Cervantes Lamkin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1301 W Frank Ave, Lufkin, TX 75904 Phone: 936-633-2726 | |
Ms. Denise F Fowler, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 132 Sandalwood St, Lufkin, TX 75904 Phone: 936-404-2662 | |
Mary Jane Grimes, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4101 S Medford Dr, Lufkin, TX 75901 Phone: 936-639-1141 |