# NORTH TEXAS INJURY AND WELLNESS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700428901
- **Authorized official:** DR. TIMOTHY E ODOM DC (OWNER)
- **Authorized official phone:** (817) 723-4441

## Contact information

- **Practice address:** 6431 SOUTHWEST BLVD, BENBROOK, TX 76132-2777
- **Practice address phone:** (817) 738-9777
- **Practice address fax:** (817) 738-9779
- **Mailing address:** 6116 DAKBEND TRAIL, SUITE 112, FORT WORTH, TX 76132-3926
- **Mailing address phone:** (817) 346-7800
- **Mailing address fax:** (817) 346-7804

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 111NR0400X | Rehabilitation Chiropractor | — | NULL | — |
| 111NR0400X | Rehabilitation Chiropractor | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/09/2019
- **Last updated:** 02/27/2020