Provider Demographics
NPI:1336520469
Name:ODOM, CHRISTOPHER (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:
Last Name:ODOM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:963 STATE HIGHWAY 121 STE 1150
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-6034
Mailing Address - Country:US
Mailing Address - Phone:469-322-1400
Mailing Address - Fax:469-322-1401
Practice Address - Street 1:963 STATE HIGHWAY 121 STE 1150
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-6034
Practice Address - Country:US
Practice Address - Phone:469-322-1400
Practice Address - Fax:469-322-1401
Is Sole Proprietor?:No
Enumeration Date:2015-06-15
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXT2032207XS0114X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery