Odom, Todd A
Odom, Todd A is an individual health care provider with primary practice located at 1705 Ohio Dr Suite 100, Plano TX 75093-5255. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Odom, Todd A can be contacted via phone (972) 612-0430.Contact Information
Primary practice address
1705 Ohio Dr Suite 100
Plano TX 75093-5255
Phone: (972) 612-0430
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | J4400 | Texas |
Profile Details
| NPI number | 1801860952 |
|---|---|
| LBN Legal business name | Odom, Todd A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2006 |
| Last updated | Oct 26th, 2017 - about 8 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 | 1801860952 | NPPES |
| Texas | Other | 280001123 | MEDICARE RAILROAD |
| Texas | Other | 8Z1392 | MEDICARE RAILROAD |
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