Provider Demographics
NPI:1831653138
Name:AP INJURY & WELLNESS, PLLC
Entity Type:Organization
Organization Name:AP INJURY & WELLNESS, PLLC
Other - Org Name:ELITE CARE PROFESSIONALS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:TUYEN
Authorized Official - Last Name:DUONG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:817-808-5353
Mailing Address - Street 1:3213 RIDGE TRACE CIR
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-5365
Mailing Address - Country:US
Mailing Address - Phone:817-808-5353
Mailing Address - Fax:
Practice Address - Street 1:2000 S BELT LINE RD STE 102
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75051-4157
Practice Address - Country:US
Practice Address - Phone:214-412-2422
Practice Address - Fax:469-779-1951
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-31
Last Update Date:2019-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty