Individual provider · Type 1 NPI

Fredrick Odongo

Psychiatric/Mental Health Nurse Practitioner · Arlington, TX

NPI number 1104582006 Active

Practice location

715 N Fielder Rd
Arlington, TX 76012-4695

Call (817) 962-0409 Map

Mailing address

8206 Ithaca Dr
Arlington, TX 76002-4423

Specialties and licenses

Taxonomy	Code	License
Psychiatric/Mental Health Nurse Practitioner Primary	363LP0808X	1051796 (TX)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1104582006

Fredrick Odongo's National Provider Identifier is 1104582006, issued on Nov 15, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Arlington, TX. The record was last updated on Nov 15, 2021.