W C Odonnell Jr Md Pa

LBN: W C Odonnell Jr Md Pa
W C Odonnell Jr Md Pa is an health care organization with primary practice located at 708 Hill Country Dr Building 300A, Kerrville TX 78028-6079. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. W C Odonnell Jr Md Pa can be contacted via phone (830) 257-5665, or through Odonnell, William Charles via phone (830) 257-5665.

Contact Information

Primary practice address
708 Hill Country Dr Building 300A Kerrville TX 78028-6079
Fax: (830) 896-4434
Website:
Authorized official contact:
Name: Odonnell, William Charles Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E3389 Texas

Profile Details

NPI number 1649363573
LBN Legal business name W C Odonnell Jr Md Pa
DBA Doing business as
Authorized official Odonnell, William Charles Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 2nd, 2006
Last updated Jul 2nd, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649363573 NPPES
Other 0018QJ BLUE CROSS BLUE SHIELD
MEDICAID 170958601 BLUE CROSS BLUE SHIELD
Other A007 BLUE CROSS BLUE SHIELD

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