Healthcare Provider Details

I. General information

NPI: 1952334302
Provider Name (Legal Business Name): EARL DAVID ZUERCHER D C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/09/2006
Last Update Date: 11/04/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1419 S MAIN ST
WEATHERFORD TX
76086-5530
US

IV. Provider business mailing address

1419 S MAIN ST
WEATHERFORD TX
76086-5530
US

V. Phone/Fax

Practice location:
  • Phone: 817-599-5512
  • Fax: 817-596-4041
Mailing address:
  • Phone: 817-599-5512
  • Fax: 817-596-4041

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2789
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: