Provider Demographics
NPI:1265915581
Name:ODAIBO, ESTHER (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:ESTHER
Middle Name:
Last Name:ODAIBO
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7211 REGENCY SQUARE BLVD STE 230B204
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-3138
Mailing Address - Country:US
Mailing Address - Phone:186-655-2388
Mailing Address - Fax:503-966-5188
Practice Address - Street 1:11811 NORTH FWY STE 410L
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77060-3287
Practice Address - Country:US
Practice Address - Phone:971-200-5771
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-12
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM70594363LP0808X
AZ284645363LP0808X
WAAP61348734363LP0808X
COC-APN.0004520-C-NP363LP0808X
TXAP144590363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health