Provider Demographics
NPI:1033622279
Name:KURTZ, WESTON REESE (DC)
Entity Type:Individual
Prefix:DR
First Name:WESTON
Middle Name:REESE
Last Name:KURTZ
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5904 CHAPEL HILL BLVD STE 210
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-5909
Mailing Address - Country:US
Mailing Address - Phone:972-608-4411
Mailing Address - Fax:972-608-4412
Practice Address - Street 1:5904 CHAPEL HILL BLVD STE 210
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-5909
Practice Address - Country:US
Practice Address - Phone:972-608-4411
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-09
Last Update Date:2017-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13624111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor