| W C Odonnell Jr Md Pa | |
|
708 Hill Country Dr Building 300a Kerrville TX 78028-6079 | |
| (830) 257-5665 | |
| (830) 896-4434 |
| Full Name | W C Odonnell Jr Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 708 Hill Country Dr, Kerrville, Texas |
| Authorized Official Name and Position | William Charles Odonnell (PHYSICIAN OWNER) |
| Authorized Official Contact | 8302575665 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| W C Odonnell Jr Md Pa 708 Hill Country Dr Building 300a Kerrville TX 78028-6079 Ph: (830) 257-5665 | W C Odonnell Jr Md Pa 708 Hill Country Dr Building 300a Kerrville TX 78028-6079 Ph: (830) 257-5665 |
| NPI Number | 1649363573 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 07/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649363573 | NPI | - | NPPES |
| 0018QJ | Other | BLUE CROSS BLUE SHIELD | |
| 170958601 | Medicaid | TX | |
| A007 | Other | TX | HOH CARDIAC REHAB TRICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | E3389 (Texas) | Primary |
Kerrville Mec, Lp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 723 Hill Country Dr Ste C, Kerrville, TX 78028 Phone: 830-792-5800 Fax: 830-792-5848 | |
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