Charles a Odom PC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

221707 Issued in TX

Legal business name

CHARLES A ODOM PC

Practice address

5313 McPherson Rd
Laredo, TX 78041

Phone

(956) 725-4003

Fax

(956) 725-4220

NPI assigned

Sep 21, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Charles A Odom, CRNA

Title

Owner

Phone

(956) 725-4003

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124126115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5313 MCPHERSON RD",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "78041",
            "telephone_number": "956-795-8310",
            "fax_number": "956-795-8313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5313 MCPHERSON RD",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "78041",
            "telephone_number": "956-725-4003",
            "fax_number": "956-725-4220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES A ODOM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ODOM",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-725-4003",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "221707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00C85S",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Norma Chapa
• Sonia Aidee Chapa
• Tomas Chapa Jr.
• Vanessa Chapa
• Diana Chapman
• Charles Anthony Reyes, D.D.S., PC
• Charles Anthony Reyes, D.D.S., PC
• Charles Schwartz III DO, PA
• Josefina Charles, OTR
• KC Charles

• Certified Registered Nurse Anesthetist in Laredo, TX
• Providers in Laredo, TX by specialty
• Certified Registered Nurse Anesthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.