Provider Type Icon

CARL T DAVIDSON JR DC PA NPI 1043396526


NPI Information

NPI: 1043396526
Provider Name: CARL T DAVIDSON JR DC PA

Doing Business As: WEST ODESSA CHIROPRACTIC CLINIC

Classification: Chiropractor - 111N00000X
Entity Type: Organization

CLIA Number: 45D2078997

Address:
1319 W 22ND ST
ODESSA, TX
ZIP 79763
Phone: (432) 332-7882
Get Directions

CARL T DAVIDSON JR DC PA is a chiropractor in Odessa, TX. The provider is 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. CARL T DAVIDSON JR DC PA NPI is 1043396526. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As West Odessa Chiropractic Clinic.

The provider's business location address is:

1319 W 22ND ST
ODESSA, TX
ZIP 79763-406
Phone: (432) 332-7882
Fax: (432) 332-2446

The provider's authorized official is Carl T Davidson .
The authorized official title is President/owner and has the following contact phone number (432) 332-7882.

The CLIA number assigned to this NPI record is 45D2078997 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/27/2006 and was last updated on 1/10/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor4220TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1601581OTHERTEXASBCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.