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Organization
NORTH TEXAS INJURY AND WELLNESS PLLC
Active
Organization
NORTH TEXAS INJURY AND WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY E ODOM DC (OWNER)
(817) 723-4441
Entity
Organization
Contact information
Practice address
6431 SOUTHWEST BLVD, BENBROOK, TX 76132-2777
(817) 738-9777
(817) 738-9779
Mailing address
6116 DAKBEND TRAIL, SUITE 112, FORT WORTH, TX 76132-3926
(817) 346-7800
(817) 346-7804
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
111NR0400X
Rehabilitation Chiropractor
—
NULL
111NR0400X
Rehabilitation Chiropractor
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
10/09/2019
Last updated
02/27/2020
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