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VANGUARD MEDICAL ALLIANCE NPI 1902819121


NPI Information

NPI: 1902819121
Provider Name: VANGUARD MEDICAL ALLIANCE

Doing Business As: COLLEYVILLE WELLNESS

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
16 VILLAGE LN
SUITE 220
COLLEYVILLE, TX
ZIP 76034
Phone: (817) 485-2300
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VANGUARD MEDICAL ALLIANCE is a chiropractor in Colleyville, 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. VANGUARD MEDICAL ALLIANCE NPI is 1902819121. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Colleyville Wellness.

The provider's business location address is:

16 VILLAGE LN
SUITE 220
COLLEYVILLE, TX
ZIP 76034-946
Phone: (817) 485-2300
Fax: (817) 485-2356

The provider's authorized official is Thomas Mundheim .
The authorized official title is Director and has the following contact phone number (817) 485-2300.

The enumeration date for this NPI number is 8/15/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorDC6579TEXASYes

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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