| Theresa Odom, APRN | |
|
821 N Broadway St, Aspermont, TX 79502-2029 | |
| (940) 989-2875 | |
| Not Available |
| Full Name | Theresa Odom |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 821 N Broadway St, Aspermont, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659738615 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | AP130012 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Stonewall Memorial Hospital | Aspermont, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Stonewall Memorial Hospital | 1254228919 | 6 |
| Entity Name | Stonewall Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083612121 PECOS PAC ID: 1254228919 Enrollment ID: O20040228000195 |
| Mailing Address | Practice Location Address |
|---|---|
| Theresa Odom, APRN 821 N Broadway St, Aspermont, TX 79502-2029 Ph: (940) 989-2875 | Theresa Odom, APRN 821 N Broadway St, Aspermont, TX 79502-2029 Ph: (940) 989-2875 |
Cynthia Marie Criswell, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 821 N Broadway St, Aspermont, TX 79502 Phone: 940-989-3551 | |
Cheyenna Cooper, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 819 N Broadway St, Aspermont, TX 79502 Phone: 940-989-2875 | |
Lee Ann Fraser, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 819 N Broadway St, Aspermont, TX 79502 Phone: 940-989-2875 Fax: 940-989-3715 | |
Mrs. Marsha Smith, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 819 N Broadway St, Aspermont, TX 79502 Phone: 940-989-2875 |