NPI age
20 years
Enumerated 2005-11-09
● Active
Type 1 · Individual
Jacqueline S Taylor Odonald, M.D.
Taylor Odonald is 1 of 31 internal medicine providers in Texarkana and 1 of 12343 in Texas.
Primary specialty
Internal Medicine
Plus 1 subspecialty
Licensed in
TX, AR
2 states
Status
Active
No deactivations on record
Last NPPES update
2011-11-01
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 12343 active internal medicine providers in Texas.
NPI age
20 years
↑ 3 yr above median (17 yr)
State licenses
2 states
Top 88% — 12% of peers are multi-state
Subspecialties
0
33% of peers hold subspecialties
NPI lifetime · 2005 → 2026
2005-11Enumerated in NPPES
2005
2026
Where they practice
Practice location
5002 Cowhorn Creek Rd
Texarkana, TX 755039766
Mailing address
5002 Cowhorn Creek Rd
Texarkana, TX 755039766
Specialties
-
Internal Medicine PrimaryA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (AR) | 5M000 | BCBS |
| 01 (TX) | 0092MN | BCBS |
| 05 (AR) | 145436001 | |
| 05 (TX) | 145871301 | |
| 01 (TX) | DD3261 | RR MEDICARE |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 132 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.