Healthcare Provider Details

I. General information

NPI: 1710184296
Provider Name (Legal Business Name): FAMILY CHIROPRACTIC & WELLNESS CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 760
LAKE DALLAS TX
75065-0760
US

IV. Provider business mailing address

3201 TEASLEY LN SUITE 402
DENTON TX
76210-8302
US

V. Phone/Fax

Practice location:
  • Phone: 940-383-3420
  • Fax: 940-383-3432
Mailing address:
  • Phone: 940-383-3420
  • Fax: 940-383-3432

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number9334
License Number StateTX

VIII. Authorized Official

Name: DR. DAVID C TURNER
Title or Position: PRESIDENT
Credential: D.C.
Phone: 940-383-3420