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ROCKWALL PRO HEALTH CHIROPRACTIC NPI 1235379157


NPI Information

NPI: 1235379157
Provider Name: ROCKWALL PRO HEALTH CHIROPRACTIC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
554 W RALPH HALL PKWY
ROCKWALL, TX
ZIP 75032
Phone: (972) 771-3388
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ROCKWALL PRO HEALTH CHIROPRACTIC is a chiropractor in Rockwall, 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. ROCKWALL PRO HEALTH CHIROPRACTIC NPI is 1235379157. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

554 W RALPH HALL PKWY
ROCKWALL, TX
ZIP 75032-644
Phone: (972) 771-3388
Fax: (972) 722-3398

The provider's authorized official is Keeston Waters .
The authorized official title is President/chiropractor and has the following contact phone number (972) 771-3388.

The enumeration date for this NPI number is 3/5/2009 and was last updated on 7/30/2015.


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
1111N00000XChiropractor11026TEXASNo
2111N00000XChiropractor11131TEXASYes

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
10A4697MEDICARE PINTEXAS

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

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