Organization
CARL T DAVIDSON JR DC PA
Active
Other names
WEST ODESSA CHIROPRACTIC CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL T DAVIDSON JR. (PRESIDENT/OWNER)
(432) 332-7882
Entity
Organization
Contact information
Practice address
1319 W 22ND ST, ODESSA, TX 79763-2406
(432) 332-7882
(432) 332-2446
Mailing address
1319 W 22ND ST, ODESSA, TX 79763-2406
(432) 332-7882
(432) 332-2446
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4220
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
601581
BCBS
TX
Enumeration date
10/27/2006
Last updated
01/10/2020
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