Provider Demographics
NPI:1548390024
Name:PARKHILL CHIROPRACTIC & WELLNESS CENTER P.C
Entity Type:Organization
Organization Name:PARKHILL CHIROPRACTIC & WELLNESS CENTER P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:WADE
Authorized Official - Last Name:PARKHILL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:817-337-5199
Mailing Address - Street 1:1135 KELLER PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:KELLER
Mailing Address - State:TX
Mailing Address - Zip Code:76248-1625
Mailing Address - Country:US
Mailing Address - Phone:817-337-5199
Mailing Address - Fax:817-745-0998
Practice Address - Street 1:1135 KELLER PKWY STE 200
Practice Address - Street 2:
Practice Address - City:KELLER
Practice Address - State:TX
Practice Address - Zip Code:76248-1625
Practice Address - Country:US
Practice Address - Phone:817-337-5199
Practice Address - Fax:817-745-0998
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2010-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX111N00000X111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXU57144Medicare UPIN
TX8B1309Medicare ID - Type Unspecified