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FLOYD CLARK ODOM
7777 FOREST LN A321 DALLAS TX 752302589

FLOYD CLARK ODOM is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1346275146. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 6406830918. The primary specialty is COLORECTAL SURGERY (PROCTOLOGY). The organization is TEXAS COLON AND RECTAL SURGEONS, LLP. The address is 7777 FOREST LN, A321, DALLAS, TX, 752302589. The zip code is 752302589.


Nation Provider ID1346275146
PAC ID by PECOS6406830918
Professional Enrollment IDI20100518000108
NameFLOYD CLARK ODOM
Medical School NameUNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduation Year1972
Primary SpecialtyCOLORECTAL SURGERY (PROCTOLOGY)
All secondary specialties
Organization NameTEXAS COLON AND RECTAL SURGEONS, LLP
Group Practice PAC ID1557345063
Number of Group Practice members15
Address7777 FOREST LN, A321, DALLAS, TX, 752302589
Hospital affiliation LBNTEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS
Graduation Year1972
Contact Number9726613575
Email Address[Show_Email_ID]

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