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NPI Code Detail

MEDICARE: DR. CHRISTOPHER ODOM M.D.

MEDICARE: DR. CHRISTOPHER ODOM M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207XS0114XAdult Reconstructive Orthopaedic Surgery PhysicianT2032TX
2207X00000XOrthopaedic Surgery PhysicianT2032TX

General Provider Information

NPI Number : 1336520469
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTOPHER ODOM M.D.
Provider Business Mailing Address
First Line : 963 STATE HIGHWAY 121 STE 1150
Second Line :
City : ALLEN
State : TX
Zip : 75013-6034
Country : US
Telephone Number : 469-322-1400
Fax Number : 469-322-1401
Provider Business Practice Location Address
First Line : 963 STATE HIGHWAY 121 STE 1150
Second Line :
City : ALLEN
State : TX
Zip : 75013-6034
Country : US
Telephone Number : 469-322-1400
Fax Number : 469-322-1401
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2015
Last Update Date : 05/05/2023

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Directions to “ DR. CHRISTOPHER ODOM M.D.” Practice Location

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