Healthcare Provider Details

I. General information

NPI: 1558036129
Provider Name (Legal Business Name): CHALMERS WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2021
Last Update Date: 08/15/2021
Certification Date: 08/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6988 LEBANON RD STE 101
FRISCO TX
75034-6743
US

IV. Provider business mailing address

6988 LEBANON RD STE 101
FRISCO TX
75034-6743
US

V. Phone/Fax

Practice location:
  • Phone: 214-446-5300
  • Fax:
Mailing address:
  • Phone: 214-446-5300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. MATTHEW SCOTT CHALMERS
Title or Position: PRESIDENT
Credential: DC
Phone: 469-323-0033