Provider Demographics
NPI:1710007422
Name:CHIROPRACTIC & HEALTHCARE CENTER
Entity Type:Organization
Organization Name:CHIROPRACTIC & HEALTHCARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:RE
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:972-283-9355
Mailing Address - Street 1:115 W WHEATLAND RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:DUNCANVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75116-4733
Mailing Address - Country:US
Mailing Address - Phone:972-283-9355
Mailing Address - Fax:972-283-1800
Practice Address - Street 1:115 W WHEATLAND RD
Practice Address - Street 2:SUITE 101
Practice Address - City:DUNCANVILLE
Practice Address - State:TX
Practice Address - Zip Code:75116-4733
Practice Address - Country:US
Practice Address - Phone:972-283-9355
Practice Address - Fax:972-283-1800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC7836111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty