Provider Demographics
NPI:1659471852
Name:HARDWICK, WILLIAM MORITZ (DC)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:MORITZ
Last Name:HARDWICK
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 N. MILLER ROAD
Mailing Address - Street 2:#200
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063
Mailing Address - Country:US
Mailing Address - Phone:817-842-9991
Mailing Address - Fax:817-612-6595
Practice Address - Street 1:1071 COUNTRY CLUB DR
Practice Address - Street 2:SUITE 101
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-2663
Practice Address - Country:US
Practice Address - Phone:817-453-3999
Practice Address - Fax:817-453-7011
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2013-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC9401111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX293165YSX6Medicare PIN