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Dr. Carl T Davidson JR., DC
Clinic/Center in Odessa, Texas
NPI 1477641785

Carl T Davidson JR. is a Clinic/Center based in Odessa, TX. Carl T Davidson JR. practices in Odessa, TX and has the professional credentials of DC. The NPI Number for Carl T Davidson JR. is 1477641785 and holds a License No. 4220 (Texas).

The current practice location address for Carl T Davidson JR. is 1319 W 22Nd St, Odessa, TX and can be reached out via phone at 432-332-7882 and via fax at 432-332-2446.

Location: 1319 W 22Nd St, Odessa, TX, 79763-2406
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477641785
Provider Name
Carl T Davidson JR.
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
1319 W 22Nd St, Odessa, TX, 79763-2406
Phone Number
432-332-7882
Fax Number
432-332-2446
Provider Enumeration Date
10/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4364012 01 TX AETNA
601581 01 TX BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1319 W 22Nd St
City
Odessa
State
Texas
Zip
79763-2406
Phone Number
432-332-7882
Fax Number
432-332-2446
person
Provider Business Mailing Address Details
Address
1319 W 22Nd St
City
Odessa
State
Texas
Zip
79763-2406
Phone Number
432-332-7882
Fax Number
432-332-2446
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
4220 (Texas)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
4220 (Texas)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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