Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | T2032 | TX |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | T2032 | TX |
NPI | 1336520469 |
---|---|
Provider Name | Dr. Christopher Odom |
First Address | Plano, TX 75024-2615 |
Second Address | Plano, TX 75024-2615 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2015 |
Last Update Date | 05/10/2021 |