| NPI | 1770847071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY ODOM Owner/Provider 817-874-2555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NX0800X Chiropractor Orthopedic (Licence: TX 5994) |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2012-08-16 |