| John Odneal, MD | |
|
700 E Marshall Ave, Longview, TX 75601 | |
| (903) 315-5171 | |
| (903) 315-1888 |
| Full Name | John Odneal |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Location | 700 E Marshall Ave, Longview, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013414259 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | T2236 (Texas) | Secondary |
| 208M00000X | Hospitalist | T2236 (Texas) | Primary |
| Entity Name | Christus Trinity Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091 |
| Mailing Address | Practice Location Address |
|---|---|
| John Odneal, MD 700 E Marshall Ave, Longview, TX 75601-5580 Ph: (903) 315-5171 | John Odneal, MD 700 E Marshall Ave, Longview, TX 75601 Ph: (903) 315-5171 |
Venkata Sandeep Koripalli, M.D., Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 700 E Marshall Ave, Longview, TX 75601 Phone: 903-315-3588 | |
Harold R Taylor, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2901 N 4th St, Longview, TX 75605 Phone: 903-232-3675 | |
Dr. Sathiraju Undavalli, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 700 E Marshall Ave, Longview, TX 75601 Phone: 903-315-1488 | |
Dr. Ezza Tariq, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 700 E Marshall Ave, Longview, TX 75601 Phone: 903-315-2000 | |
Chinwe Okafor, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 700 E Marshall Ave, Longview, TX 75601 Phone: 903-315-1488 | |
Dr. Kwame Boakye Agyeman, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 700 E Marshall Ave, Longview, TX 75601 Phone: 903-315-1488 Fax: 903-315-1656 | |
Dr. Tejo Ramam Challa, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 700 E Marshall Ave, Longview, TX 75601 Phone: 903-315-1488 Fax: 903-315-1656 |