Provider Demographics
NPI:1417243395
Name:TORCHWOOD, LLC
Entity Type:Organization
Organization Name:TORCHWOOD, LLC
Other - Org Name:AFFORDABLE CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GEN MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:DARNER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:940-484-2525
Mailing Address - Street 1:2530 LIBERTY LN
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76209-1541
Mailing Address - Country:US
Mailing Address - Phone:940-484-2525
Mailing Address - Fax:512-366-9789
Practice Address - Street 1:2201 S I-35 E
Practice Address - Street 2:L22
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76205-8192
Practice Address - Country:US
Practice Address - Phone:940-484-2525
Practice Address - Fax:512-366-9789
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-20
Last Update Date:2011-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5958111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1275830408OtherNPI TYPE -1 FOR DR MARK DARNER DC