Organization
ODOM CHIROPRACTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY E ODOM D.C (OWNER)
(817) 738-9777
Entity
Organization
Contact information
Practice address
6125 INTERSTATE 20, 302, FORT WORTH, TX 76132-3629
(817) 738-9777
(817) 738-8708
Mailing address
6125 INTERSTATE 20, 302, FORT WORTH, TX 76132-3629
(817) 738-9777
(817) 738-8708
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
DC5994
TX
Other
Enumeration date
01/26/2009
Last updated
01/26/2009
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