Provider Demographics
NPI:1366867731
Name:FMWC, LLC.
Entity Type:Organization
Organization Name:FMWC, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TODD
Authorized Official - Middle Name:
Authorized Official - Last Name:OCZOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:214-395-7264
Mailing Address - Street 1:4051 KIRKPATRICK LN
Mailing Address - Street 2:STE 300
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-1802
Mailing Address - Country:US
Mailing Address - Phone:214-395-7264
Mailing Address - Fax:972-899-8146
Practice Address - Street 1:4051 KIRKPATRICK LN
Practice Address - Street 2:STE 300
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-1802
Practice Address - Country:US
Practice Address - Phone:214-395-7264
Practice Address - Fax:972-899-8146
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-21
Last Update Date:2014-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8418111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty