Rachel Odwyer, CNIM
Individual provider Active NPI Electroneurodiagnostic Specialist/Technologist · Waller, TX
NPI 1689936734 · NPPES record last updated Jun 14, 2012
Key facts
- NPI
- 1689936734
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Electroneurodiagnostic Specialist/Technologist 246ZE0600X
- License
- 2274 (TX)
- Practice address
- 33518 Haley Rd
# 1
Waller, TX 77484-5110 - Phone
- (888) 344-2947
- Fax
- (888) 344-2947
- NPI assigned
- Jun 14, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2274 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Axis Neuromonitoring | Electroneurodiagnostic | Past | Accepting new patients |
| Atlas Neurophysiological Assessment | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | 2274 | TX | Yes |
Addresses
Primary practice location
33518 Haley Rd
# 1
Waller, TX 77484-5110
Mailing address
PO Box 1577
Waller, TX 77484-1577
Other providers in Waller, TX
- Motivate Bilingual Speech Therapy, LLC
- Calvin Nguyen
- Priscilla Mmutaka Njoku
- Ian O'Fallon
- Pamela A Odima
- Melanie Oslund-Goldberg
- Lindsay Shay Owen
- Lorena Penaloza
- Jessenia N Perea
- Victor Alexander Perea
All providers in Waller, TX · Electroneurodiagnostic Specialist/Technologist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.