Provider Demographics
NPI:1073942686
Name:WORD, JOHN ADAM (DC)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:ADAM
Last Name:WORD
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 1:114 HALL RD
Mailing Address - Street 2:
Mailing Address - City:SEAGOVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75159-2916
Mailing Address - Country:US
Mailing Address - Phone:972-287-7733
Mailing Address - Fax:972-287-4533
Practice Address - Street 1:114 HALL RD
Practice Address - Street 2:
Practice Address - City:SEAGOVILLE
Practice Address - State:TX
Practice Address - Zip Code:75159-2916
Practice Address - Country:US
Practice Address - Phone:972-287-7733
Practice Address - Fax:972-287-4533
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-04
Last Update Date:2016-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12426111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor