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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 ID||1346275146|
|PAC ID by PECOS||6406830918|
|Professional Enrollment ID||I20100518000108|
|Name||FLOYD CLARK ODOM|
|Medical School Name||UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO|
|Primary Specialty||COLORECTAL SURGERY (PROCTOLOGY)|
|All secondary specialties|
|Organization Name||TEXAS COLON AND RECTAL SURGEONS, LLP|
|Group Practice PAC ID||1557345063|
|Number of Group Practice members||15|
|Address||7777 FOREST LN, A321, DALLAS, TX, 752302589|
|Hospital affiliation LBN||TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS|