Odom, Leroy
Odom, Leroy is an sole proprietor health care provider with primary practice located at 2101 Crawford St Ste 300 , Houston TX 77002-8941. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Odom, Leroy can be contacted via phone (713) 658-8660.Contact Information
Primary practice address
2101 Crawford St Ste 300
Houston TX 77002-8941
Phone: (713) 658-8660
Fax: (713) 658-0205
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | F6295 | Texas |
Profile Details
| NPI number | 1144274234 |
|---|---|
| LBN Legal business name | Odom, Leroy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 21st, 2006 |
| Last updated | Sep 30th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144274234 | NPPES |
| Texas | MEDICAID | 099388302 |
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