Jacqueline S O'donald, M.d., PA

NPI #1134432412 in Texarkana, Texas

Provider Information

NPI Number: 1134432412
Entity Type: Organization
Organization Name: Jacqueline S O'donald, M.d., PA
Primary Specialty: Specialist
Enumeration Date: Jul 15, 2010
Last Updated: Oct 22, 2010

Practice Location

Address: 3510 RICHMOND RD STE 100
City: Texarkana
State: Texas
ZIP Code: 75503-0712
Phone: (903) 831-3033

Authorized Official

Name: MRS. LISA ANN CARLTON, CCA, CMIS
Title: INSURANCE/BILLING
Phone: (903) 831-3033

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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