Erika G L C Odisio, MD | |
1400 Pressler St # 145084, Houston, TX 77030-3722 | |
(832) 260-8630 | |
Not Available |
Full Name | Erika G L C Odisio |
---|---|
Gender | Female |
Speciality | Radiology - Diagnostic Radiology |
Location | 1400 Pressler St # 145084, Houston, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578065967 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | BP10055537 (Texas) | Primary |
Entity Name | Ut Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033157821 PECOS PAC ID: 8426960360 Enrollment ID: O20031107000268 |
Mailing Address | Practice Location Address |
---|---|
Erika G L C Odisio, MD 2139 Tangley St, Houston, TX 77005-1640 Ph: (832) 260-8630 | Erika G L C Odisio, MD 1400 Pressler St # 145084, Houston, TX 77030-3722 Ph: (832) 260-8630 |
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