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General NPI Number Information
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NPI Number | 1649537861
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Entity Type | Organization
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Legal Business Name | WALTER L ADAMS DC PC
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Dates
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Enumeration Date | 04/12/2012
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Last Update Date | 04/12/2012
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Provider Practice Location Address
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Address Line | 5913 LOVELL AVE SUITE B
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City | FORT WORTH
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State | TX
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Zip | 76107-5069
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Country | US
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Telephone | 817-731-6921
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Fax | 817-763-9535
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Provider Business Mailing Address
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Address Line | 5913 LOVELL AVE SUITE B
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City | FORT WORTH
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State | TX
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Zip | 76107-5069
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Country | US
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Telephone | 817-731-6921
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Fax | 817-763-9533
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Authorized Official
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Title or Position | OWNER
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Name | DR. WALTER ADAMS
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Credential | D.C.,
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Telephone | 817-731-6921
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2606
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License Number State | TX
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