Dr. Angela D Odom-austin
M.D. | Pediatric Adolescent Medicine | Female
Dr. Angela D Odom-austin, M.D. is a Ruston, Louisiana based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Dr. Angela D Odom-austin is
1140 S Vienna St, Ruston, Louisiana - 71270-5834. She can be contacted on phone at
318-224-7190.
Dr. Angela D Odom-austin is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Angela D Odom-austin is
1437180072 which was assigned by NPPES on 05 Jul, 2006 and it was last updated on 04 Oct, 2019.
Dr. Angela D Odom-austin license number is
0101047120 for Pediatrics Adolescent Medicine (2080A0000X) in Virginia.
Dr. Angela D Odom-austin specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Dr. Angela D Odom-austin basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Dr. Angela D Odom-austin |
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| Credential : | M.D. |
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| Gender : | Female |
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| Sole Proprietor : | Yes |
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Business Address:
Dr. Angela D Odom-austin address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1140 S Vienna St
Ruston, LA, 71270-5834
United States |
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| Phone Number : | 318-224-7190 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1437180072 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 05 Jul, 2006 |
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| Last Updated On : | 04 Oct, 2019 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Angela D Odom-austin are as mentioned. Primary taxonomy code for Dr. Angela D Odom-austin, M.D. is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 0101047120 | VA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Angela D Odom-austin such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 54-1705950 | Other | VA | FEDERAL TAX ID NUMBER |
| 6754406 | MEDICAID | VA | |
| 2505637 | MEDICAID | LA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 1230
Hampton, VA, 23661-0230
United States |
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| Phone Number : | 757-247-1111 |
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| Fax Number : | 757-825-5740 |
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Business Location:
Patients can refer following map for directions to
Dr. Angela D Odom-austin practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.