Individual
JOHN DAVID ODOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
S2861
TX
207SG0202X
Clinical Biochemical Genetics Physician
Primary
S2861
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497118004
—
MD
Enumeration date
03/31/2016
Last updated
02/23/2023
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