Provider Demographics
NPI:1326250606
Name:BACK PRO, INC.
Entity Type:Organization
Organization Name:BACK PRO, INC.
Other - Org Name:INWOOD CHIROPRACTIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOHY
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:NAWROCKI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:214-902-0092
Mailing Address - Street 1:PO BOX 7878
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75209-0878
Mailing Address - Country:US
Mailing Address - Phone:214-902-0092
Mailing Address - Fax:214-902-4848
Practice Address - Street 1:7979 INWOOD RD
Practice Address - Street 2:SUITE 123
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75209-3353
Practice Address - Country:US
Practice Address - Phone:214-902-0092
Practice Address - Fax:214-902-4848
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-07
Last Update Date:2008-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10602111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty