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PETE O'DONALD DPM PLLC NPI 1801308234


NPI Information

NPI: 1801308234
Provider Name: PETE O'DONALD DPM, PLLC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
520 S TWIN CITY HWY STE 101
NEDERLAND, TX
ZIP 77627
Phone: (409) 727-1773
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PETE O'DONALD DPM, PLLC is a podiatrist in Nederland, TX. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. PETE O'DONALD DPM, PLLC NPI is 1801308234. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

520 S TWIN CITY HWY STE 101
NEDERLAND, TX
ZIP 77627-246
Phone: (409) 727-1773
Fax: (409) 727-1433

The provider's authorized official is Pete Edward O'donald .
The authorized official title is Physician and has the following contact phone number (409) 727-1122.

The enumeration date for this NPI number is 10/25/2017 and was last updated on 10/25/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatrist2254TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1370258101MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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