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LISA GAILE ODOM APRN-BC
NPI 1992988539
Nurse Practitioner - Family in Liberty, TX

Active since December 05, 2007
1353 N TRAVIS ST, LIBERTY, TX 77575(936) 336-7316(936) 336-2280 Get Directions Write a Review

NPPES record last updated: December 5, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lisa Gaile Odom Aprn-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA GAILE ODOM APRN-BC (NPI 1992988539) is an individual family provider in Liberty, Texas, licensed in Texas (658834) and active in the NPI registry since December 2007.

NPPES Registry Identity

NPI1992988539
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLISA GAILE ODOMCredential: APRN-BC
Location Address1353 N TRAVIS STLiberty, TX 77575-3549
Mailing Address4120 Burning Tree DrKettering, OH 45440-1112 · (713) 240-1775
Phone(936) 336-7316
Fax(936) 336-2280
Sole ProprietorNo
Enumeration DateDecember 5, 2007
✔ NPI 1992988539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 658834
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 658834 (TX)
Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License 658834 (TX)
Also ListedRegistered Nurse · FlightTaxonomy 163WF0300X · License 658834 (TX)
Also ListedClinical Nurse Specialist · EmergencyTaxonomy 364SE0003X · License 658834 (TX)
1353 N TRAVIS ST, Liberty, TX 77575
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Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VICTORIA DIANNE MANNING FNP-BC
Nurse Practitioner (Family)
1353 N TRAVIS ST
LIBERTY, TX 77575
Liberty County (936) 336-7316
DANNY KYAW KHINE MD
Internal Medicine
1353 N TRAVIS ST
LIBERTY, TX 77575
Liberty County (936) 336-7316
ESS OF SOUTH TEXAS LLC
Emergency Medicine
1353 N TRAVIS ST
LIBERTY, TX 77575
Liberty County (936) 336-7316
MS. SHELLY MARGARET STATES P.A
Physician Assistant (Medical)
1353 N TRAVIS ST
LIBERTY, TX 77575
Liberty County (832) 397-9283
LIBERTY DAYTON COMMUNITY HOSPITAL
General Acute Care Hospital (Critical Access)
1353 N TRAVIS ST
LIBERTY, TX 77575
Liberty County (936) 336-7316
APOLLO MEDFLIGHT, LLC
Ambulance (Air Transport)
1353 N TRAVIS ST
LIBERTY, TX 77575
Liberty County (806) 322-4448
STEVEN WAYNE BRANHAM RN, ACNP
Nurse Practitioner
1353 N TRAVIS ST
LIBERTY, TX 77575
Liberty County (936) 336-7316
EDWIN ALLEN MORGAN III PA
Physician Assistant
1353 N TRAVIS ST
LIBERTY, TX 77575
Liberty County (936) 697-6959

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Odom's NPI number?

The NPI number for Lisa Odom is 1992988539. It was assigned to this individual provider in the NPPES registry on December 5, 2007.

Where is Lisa Odom located?

Lisa Odom practices at 1353 N Travis St, Liberty, TX 77575. The listed phone number is (936) 336-7316.

What is Lisa Odom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Lisa Odom was last updated on December 5, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.