Organization · Type 2 NPI
Odom Chiropractic Clinic
Medical Specialty Clinic/Center · Fort Worth, TX
Practice location
6125 Interstate 20, 302
Fort Worth, TX 76132-3629
Fax (817) 738-8708
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Specialty Clinic/Center Primary | 261QM2500X | DC5994 (TX) |
Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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About NPI 1619115995
Odom Chiropractic Clinic's National Provider Identifier is 1619115995, issued on Jan 26, 2009. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Fort Worth, TX. The record was last updated on Jan 26, 2009.