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ODOM CHIROPRACTIC CLINIC
NPI 1619115995
Clinic/Center - Medical Specialty in Fort Worth, TX

Active since January 26, 2009
6125 INTERSTATE 20, 302, FORT WORTH, TX 76132(817) 738-9777(817) 738-8708 Get Directions Write a Review

NPPES record last updated: January 26, 2009. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Odom Chiropractic Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ODOM CHIROPRACTIC CLINIC (NPI 1619115995) is a healthcare organization registered as a medical specialty in Fort Worth, Texas and active in the NPI registry since January 2009. The organization lists Timothy E Odom, Owner, as its authorized official.

NPPES Registry Identity

NPI1619115995
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameODOM CHIROPRACTIC CLINIC
Location Address6125 INTERSTATE 20, 302Fort Worth, TX 76132-3629
Mailing Address6125 Interstate 20, 302Fort Worth, TX 76132-3629 · (817) 738-9777 · Fax (817) 738-8708
Phone(817) 738-9777
Fax(817) 738-8708
Organization SubpartNo
Authorized OfficialTimothy E OdomOwner · (817) 738-9777
Enumeration DateJanuary 26, 2009
✔ NPI 1619115995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in TX · DC5994
Definition
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).
6125 INTERSTATE 20, Fort Worth, TX 76132
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Other Identifiers 1

Medicare UPINU47365TX

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Odom Chiropractic Clinic's NPI number?

The NPI number for Odom Chiropractic Clinic is 1619115995. It was assigned to this organization in the NPPES registry on January 26, 2009.

Where is Odom Chiropractic Clinic located?

Odom Chiropractic Clinic is located at 6125 Interstate 20 302, Fort Worth, TX 76132. The listed phone number is (817) 738-9777.

What is Odom Chiropractic Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Odom Chiropractic Clinic was last updated on January 26, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.