Provider Demographics
NPI:1043562200
Name:CHIRO ONE WELLNESS CENTER OF MCKINNEY PLLC
Entity Type:Organization
Organization Name:CHIRO ONE WELLNESS CENTER OF MCKINNEY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:SAM
Authorized Official - Middle Name:
Authorized Official - Last Name:WANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-468-1824
Mailing Address - Street 1:PO BOX 677738
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75267
Mailing Address - Country:US
Mailing Address - Phone:630-320-6400
Mailing Address - Fax:630-320-6489
Practice Address - Street 1:2045 N CENTRAL EXPY
Practice Address - Street 2:SUITE 750
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-3172
Practice Address - Country:US
Practice Address - Phone:630-468-1824
Practice Address - Fax:630-701-1007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-11
Last Update Date:2012-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty