| Texas Center Of Chiropractic Orthopedics, Llc | |
|
6431 Southwest Blvd, Benbrook, TX 76132-2777 | |
| (817) 874-2555 | |
| (830) 238-3485 |
| Full Name | Texas Center Of Chiropractic Orthopedics, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor - Orthopedic |
| Location | 6431 Southwest Blvd, Benbrook, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770847071 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NX0800X | Chiropractor - Orthopedic | 5994 (Texas) | Primary |
| Provider Name | Timothy E Odom |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1952320756 PECOS PAC ID: 9638158470 Enrollment ID: I20040715001127 |
| Mailing Address | Practice Location Address |
|---|---|
| Texas Center Of Chiropractic Orthopedics, Llc 6431 Southwest Blvd, Benbrook, TX 76132-2777 Ph: () - | Texas Center Of Chiropractic Orthopedics, Llc 6431 Southwest Blvd, Benbrook, TX 76132-2777 Ph: (817) 874-2555 |
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