Provider Demographics
NPI:1366629578
Name:ODETTE N LIMOSNERO, MD, PA
Entity Type:Organization
Organization Name:ODETTE N LIMOSNERO, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ODETTE
Authorized Official - Middle Name:NYDIA
Authorized Official - Last Name:LIMOSNERO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-899-9787
Mailing Address - Street 1:400 PARKER SQ
Mailing Address - Street 2:SUITE 245
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-7425
Mailing Address - Country:US
Mailing Address - Phone:972-899-9787
Mailing Address - Fax:
Practice Address - Street 1:400 PARKER SQ
Practice Address - Street 2:SUITE 245
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-7425
Practice Address - Country:US
Practice Address - Phone:972-899-9787
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-30
Last Update Date:2008-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL7798207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0094MHOtherBCBS
TX7042605OtherAETNA
TX7042605OtherAETNA
TX00835YMedicare PIN