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SRB WELLNESS INC NPI 1639449812


NPI Profile

NPI: 1639449812
Provider Name: SRB WELLNESS INC

Doing Business As: ALLIANCE CHIROPRACTIC AND MASSAGE

Classification:Chiropractor - 111N00000X
Entity Type: Organization
Address:
5710 WATAUGA RD
SUITE A
WATAUGA, TX
ZIP 76148
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Phone: (817) 281-0008

SRB WELLNESS INC is a chiropractor in Watauga, 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. SRB WELLNESS INC NPI is 1639449812. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Alliance Chiropractic And Massage.

The provider's business location address is:

5710 WATAUGA RD
SUITE A
WATAUGA, TX
ZIP 76148-022
Phone: (817) 281-0008
Fax: (817) 281-7333

The provider's authorized official is Jeffrey Scott Ruth .
The authorized official title is President / Provider and has the following contact phone number (817) 281-0008.

The enumeration date for this NPI number is 1/5/2012 and was last updated on 8/29/2013.


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
1111N00000XChiropractor8220TEXASYes

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
1TXB148622MEDICARE 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: 5/9/2021

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