Odom, John David
Odom, John David is an individual health care provider with primary practice located at 333 N Santa Rosa , San Antonio TX 78207-3108. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Medical Genetics, Ph.D. Medical Genetics, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Clinical Biochemical Genetics. Allopathic & Osteopathic Physicians / Clinical Biochemical Genetics is his primary health care specialty. Odom, John David can be contacted via phone (713) 798-1750.Contact Information
Primary practice address
333 N Santa Rosa
San Antonio TX 78207-3108
Phone: (713) 798-1750
Fax: (713) 798-4693
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Medical Genetics, Ph.D. Medical Genetics | 170100000X | S2861 | Texas |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Clinical Biochemical Genetics | 207SG0202X | S2861 | Texas |
Profile Details
| NPI number | 1497118004 |
|---|---|
| LBN Legal business name | Odom, John David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2016 |
| Last updated | Feb 23rd, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497118004 | NPPES |
| Maryland | MEDICAID | 1497118004 |
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