Healthcare Provider Details

I. General information

NPI: 1730613282
Provider Name (Legal Business Name): AFFORDABLE DRUG TESTING & EXAMS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2017
Last Update Date: 04/11/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4702 NORTHWEST HWY
GARLAND TX
75043-4912
US

IV. Provider business mailing address

4702 NORTHWEST HWY
GARLAND TX
75043-4912
US

V. Phone/Fax

Practice location:
  • Phone: 972-270-5333
  • Fax: 855-852-4216
Mailing address:
  • Phone: 972-270-5333
  • Fax: 855-852-4216

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NI0013X
TaxonomyIndependent Medical Examiner Chiropractor
License Number10235
License Number StateTX

VIII. Authorized Official

Name: DR. DENNIS WAYNE WILLIAMSON
Title or Position: CEO
Credential: D.C.
Phone: 972-270-5333