Provider Demographics
NPI:1447763347
Name:ANCHORED HEALTH, PLLC
Entity Type:Organization
Organization Name:ANCHORED HEALTH, PLLC
Other - Org Name:FOUNDATION CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:CARR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:817-225-6775
Mailing Address - Street 1:305 REGENCY PKWY STE 801
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-3794
Mailing Address - Country:US
Mailing Address - Phone:817-225-6775
Mailing Address - Fax:
Practice Address - Street 1:733 US HWY 287 N
Practice Address - Street 2:STE 405
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-3866
Practice Address - Country:US
Practice Address - Phone:817-225-6775
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-14
Last Update Date:2021-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12095111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty