Individual
DR. TODD A ODOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1705 OHIO DR, SUITE 100, PLANO, TX 75093-5255
(972) 612-0430
Mailing address
1705 OHIO DR STE 100, PLANO, TX 75093-5256
(972) 612-0430
(972) 612-0529
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
J4400
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
280001123
MEDICARE RAILROAD
TX
01
—
8Z1392
BCBS
TX
Enumeration date
02/15/2006
Last updated
04/14/2026
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