Healthcare Provider Details

I. General information

NPI: 1750996336
Provider Name (Legal Business Name): AFFORDABLE CHIROPRACTIC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2020
Last Update Date: 09/10/2020
Certification Date: 09/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1138 BELT LINE RD STE 135
GARLAND TX
75040-1993
US

IV. Provider business mailing address

1138 BELT LINE RD STE 135
GARLAND TX
75040-1993
US

V. Phone/Fax

Practice location:
  • Phone: 469-969-0426
  • Fax: 469-969-0425
Mailing address:
  • Phone: 469-969-0426
  • Fax: 469-969-0425

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NI0013X
TaxonomyIndependent Medical Examiner Chiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code111NR0200X
TaxonomyRadiology Chiropractor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. DENNIS WAYNE WILLIAMSON
Title or Position: CEO
Credential: DC
Phone: 469-969-0426