| NPI | 1003872185 |
|---|---|
| Doing Business As | ODESSA MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | DARREL BOX CEO Lrhc 660-259-6852 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2022-01-06 |