Individual provider · Type 1 NPI
Tanner Dwain Odom, DC
Chiropractor · Houston, TX
NPI number
1295219947
Active
Practice location
2030 North Loop W Ste 120
Houston, TX 77018-8126
Mailing address
3433 W Dallas St Apt 1131
Houston, TX 77019-3842
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 13914 (TX) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1295219947
Tanner Dwain Odom, DC's National Provider Identifier is 1295219947, issued on Sep 19, 2018. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Houston, TX. The record was last updated on Sep 19, 2018.