Individual
DR. TIMOTHY E ODOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D. C.
Contact information
Practice address
5521 BELLAIRE DR S, STE. 100, FORT WORTH, TX 76109-8838
(817) 723-4441
(817) 732-2472
Mailing address
5521 BELLAIRE DR S, STE. 100, FORT WORTH, TX 76109-8838
(817) 723-4441
(817) 732-2472
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
DC5994
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2306040318
—
TX
Enumeration date
07/19/2006
Last updated
02/27/2020
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