Provider Demographics
NPI:1164767463
Name:ALL ABOUT WELLNESS PLLC
Entity Type:Organization
Organization Name:ALL ABOUT WELLNESS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KYSKA
Authorized Official - Middle Name:
Authorized Official - Last Name:SPURLOCK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:682-551-4333
Mailing Address - Street 1:10340 ALTA VISTA RD
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76244-6500
Mailing Address - Country:US
Mailing Address - Phone:682-551-4333
Mailing Address - Fax:817-562-2826
Practice Address - Street 1:10340 ALTA VISTA RD
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76244-6500
Practice Address - Country:US
Practice Address - Phone:682-551-4333
Practice Address - Fax:817-562-2826
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-28
Last Update Date:2012-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11741111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty