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ADVANCED WELLNESS & CHIROPRACTIC CLINIC NPI 1588162804


NPI Information

NPI: 1588162804
Provider Name: ADVANCED WELLNESS & CHIROPRACTIC CLINIC

Other Name: ADVANCED WELLNESS & CHIROPRACTIC CLINIC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
4801 SPRING VALLEY RD STE 80
DALLAS, TX
ZIP 75244
Phone: (972) 488-9686
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ADVANCED WELLNESS & CHIROPRACTIC CLINIC is a chiropractor in Dallas, 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. ADVANCED WELLNESS & CHIROPRACTIC CLINIC NPI is 1588162804. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Advanced Wellness & Chiropractic Clinic.

The provider's business location address is:

4801 SPRING VALLEY RD STE 80
DALLAS, TX
ZIP 75244-226
Phone: (972) 488-9686
Fax: (972) 241-1936

The provider's authorized official is Negin R Khodaparast .
The authorized official title is President and has the following contact phone number (972) 488-9686.

The enumeration date for this NPI number is 2/1/2018 and was last updated on 1/7/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor9801TEXASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11891866133OTHERTEXASNPI

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: 4/28/2024

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