Provider Demographics
NPI:1760500425
Name:TRAN CHIROPRACTIC & WELLNESS CENTER INC
Entity Type:Organization
Organization Name:TRAN CHIROPRACTIC & WELLNESS CENTER INC
Other - Org Name:ESSENTIAL CHIROCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THANG
Authorized Official - Middle Name:VINH
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:813-253-0711
Mailing Address - Street 1:3715 W AZEELE ST
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33609-2807
Mailing Address - Country:US
Mailing Address - Phone:813-253-0711
Mailing Address - Fax:813-253-0411
Practice Address - Street 1:3715 W AZEELE ST
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609-2807
Practice Address - Country:US
Practice Address - Phone:813-253-0711
Practice Address - Fax:813-253-0411
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2011-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8276111N00000X
FLCH8167111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty