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NPI Code Detail

MEDICARE: BEATRICE ODHIAMBO DO

MEDICARE: BEATRICE ODHIAMBO DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician823957TX

General Provider Information

NPI Number : 1093644734
Entity Type Code : Individual
Provider Name (Legal Business Name) : BEATRICE ODHIAMBO DO
Provider Business Mailing Address
First Line : 809 GALLAGHER DR STE D
Second Line :
City : SHERMAN
State : TX
Zip : 75090-1754
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 809 GALLAGHER DR STE D
Second Line :
City : SHERMAN
State : TX
Zip : 75090-1754
Country : US
Telephone Number : 903-771-2846
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2026
Last Update Date : 05/18/2026

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Directions to “ BEATRICE ODHIAMBO DO” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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