Provider Demographics
NPI:1437161916
Name:ELANDARY WELLNESS & INJURY CHIROPRACTIC P.A.
Entity Type:Organization
Organization Name:ELANDARY WELLNESS & INJURY CHIROPRACTIC P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:B
Authorized Official - Last Name:ELANDARY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:214-221-8330
Mailing Address - Street 1:9780 LYNDON B JOHNSON FWY
Mailing Address - Street 2:STE 103
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-6838
Mailing Address - Country:US
Mailing Address - Phone:214-221-8330
Mailing Address - Fax:214-221-8347
Practice Address - Street 1:9780 LYNDON B JOHNSON FWY
Practice Address - Street 2:STE 103
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-6838
Practice Address - Country:US
Practice Address - Phone:214-221-8330
Practice Address - Fax:214-221-8347
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-12
Last Update Date:2012-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7980111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty