Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fredrick Odongo

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1104582006

Fredrick Odongo is a Nurse Practitioner in Arlington, Texas. Qualified in 2021, 5 years ago. Practices with Ipc PAC Healthcare Services of Texas PLLC, a 42-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
5
Licensed in
TX
In the registry since
2021
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Practice location Address checks out

715 N Fielder Rd
Arlington, TX 76012-4695
Phone: (817) 962-0409
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 1051796 (TX)

Record details

NPI number1104582006
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 15, 2021
Last updated in NPPESNovember 15, 2021
Certification dateNovember 15, 2021
Mailing address8206 Ithaca Dr, Arlington, TX 76002-4423

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Ipc Pac Healthcare Services Of Texas Pllc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

Other providers in Arlington