Individual provider · Type 1 NPI

Michael Odell, PA-C

Medical Physician Assistant · Lufkin, TX

NPI number 1417969007 Active

Practice location

208 Gaslight Blvd
Lufkin, TX 75904-3166

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA01789 (TX)

Medical Physician Assistant: Definition to come...

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About NPI 1417969007

Michael Odell, PA-C's National Provider Identifier is 1417969007, issued on Aug 12, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lufkin, TX. The record was last updated on Mar 21, 2025.