Provider Demographics
NPI:1679729073
Name:ROYAL WELLNESS CENTER PLLC
Entity Type:Organization
Organization Name:ROYAL WELLNESS CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:ROYAL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:214-324-5800
Mailing Address - Street 1:9601 WHITE ROCK TRL STE 225
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75238-2558
Mailing Address - Country:US
Mailing Address - Phone:214-324-5800
Mailing Address - Fax:214-324-5838
Practice Address - Street 1:9601 WHITE ROCK TRL STE 225
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75238-2558
Practice Address - Country:US
Practice Address - Phone:214-324-5800
Practice Address - Fax:214-324-5838
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-18
Last Update Date:2009-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8533111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty