Provider Demographics
NPI:1295825701
Name:NORTH TEXAS WHOLE HEALTH PC
Entity Type:Organization
Organization Name:NORTH TEXAS WHOLE HEALTH PC
Other - Org Name:WHOLE HEALTH CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:972-530-2273
Mailing Address - Street 1:3930 NAAMAN SCHOOL ROAD
Mailing Address - Street 2:SUITE B
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75040-0914
Mailing Address - Country:US
Mailing Address - Phone:972-530-2273
Mailing Address - Fax:972-530-2608
Practice Address - Street 1:3930 NAAMAN SCHOOL ROAD
Practice Address - Street 2:SUITE B
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75040-0914
Practice Address - Country:US
Practice Address - Phone:972-530-2273
Practice Address - Fax:972-530-2608
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-13
Last Update Date:2008-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6557111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00889XMedicare PIN