Provider Demographics
NPI:1518088624
Name:TODD RULAND D C P C
Entity Type:Organization
Organization Name:TODD RULAND D C P C
Other - Org Name:CHIRO PLUS P C
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JIMMY
Authorized Official - Middle Name:TODD
Authorized Official - Last Name:RULAND
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:817-498-7333
Mailing Address - Street 1:PO BOX 121309
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76121-1309
Mailing Address - Country:US
Mailing Address - Phone:817-498-7333
Mailing Address - Fax:817-581-2866
Practice Address - Street 1:3625 WESTERN CENTER BLVD
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76137-1936
Practice Address - Country:US
Practice Address - Phone:817-498-7333
Practice Address - Fax:817-581-2866
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2008-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC6175111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0023NJOtherBCBS