Provider Demographics
NPI:1164439501
Name:HOWELL, WILLIAM WYLIE (DC)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:WYLIE
Last Name:HOWELL
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:P O BOX 180097
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75218-9998
Mailing Address - Country:US
Mailing Address - Phone:214-321-6229
Mailing Address - Fax:214-321-8235
Practice Address - Street 1:10611 GARLAND RD
Practice Address - Street 2:STE 115
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75218-2694
Practice Address - Country:US
Practice Address - Phone:214-321-6229
Practice Address - Fax:214-321-8235
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2011-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6552111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXU59893Medicare UPIN
605352Medicare ID - Type Unspecified