Healthcare Provider Details

I. General information

NPI: 1336685197
Provider Name (Legal Business Name): WORD CHIROPRACTIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2017
Last Update Date: 01/17/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 HALL RD
SEAGOVILLE TX
75159-2916
US

IV. Provider business mailing address

114 HALL RD
SEAGOVILLE TX
75159-2916
US

V. Phone/Fax

Practice location:
  • Phone: 972-287-7733
  • Fax: 972-287-4533
Mailing address:
  • Phone: 972-287-7733
  • Fax: 972-287-4533

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number12426
License Number StateTX

VIII. Authorized Official

Name: DR. JOHN ADAM WORD
Title or Position: OWNER
Credential: D.C.
Phone: 469-644-8873