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Organization

TEXAS CENTER OF CHIROPRACTIC ORTHOPEDICS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TIMOTHY ODOM DC (OWNER/PROVIDER)
(817) 874-2555
Entity
Organization

Contact information

Practice address
6431 SOUTHWEST BLVD, BENBROOK, TX 76132-2777
(817) 874-2555
(830) 238-3485
Mailing address
6431 SOUTHWEST BLVD, BENBROOK, TX 76132-2777

Taxonomy

Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
5994
TX

Other

Enumeration date
07/02/2012
Last updated
08/16/2012
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