Individual
DR. CARL T DAVIDSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
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
261Q00000X
Clinic/Center
4220
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4364012
AETNA
TX
01
—
601581
BLUE CROSS BLUE SHIELD
TX
Enumeration date
10/11/2006
Last updated
01/09/2020
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