Provider Demographics
NPI:1558585885
Name:STARWOOD CHIROPRACTIC, P.A.
Entity Type:Organization
Organization Name:STARWOOD CHIROPRACTIC, P.A.
Other - Org Name:STARWOOD CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:HEPTIG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:972-377-3909
Mailing Address - Street 1:4851 LEGACY DR
Mailing Address - Street 2:SUITE 307
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-0816
Mailing Address - Country:US
Mailing Address - Phone:972-377-3909
Mailing Address - Fax:972-377-4061
Practice Address - Street 1:4851 LEGACY DR
Practice Address - Street 2:SUITE 307
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-0816
Practice Address - Country:US
Practice Address - Phone:972-377-3909
Practice Address - Fax:972-377-4061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8764111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8V9490OtherBCBS PROVIDER ID