Provider Demographics
NPI:1891461802
Name:TRU HEALTH CHIROPRACTIC
Entity Type:Organization
Organization Name:TRU HEALTH CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHISTEE
Authorized Official - Middle Name:
Authorized Official - Last Name:LACY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:214-893-2356
Mailing Address - Street 1:210 W BELT LINE RD STE D
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-2081
Mailing Address - Country:US
Mailing Address - Phone:972-616-3027
Mailing Address - Fax:214-602-5364
Practice Address - Street 1:210 W BELT LINE RD STE D
Practice Address - Street 2:
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-2081
Practice Address - Country:US
Practice Address - Phone:972-616-3027
Practice Address - Fax:214-602-5364
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-19
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX823645686OtherTRU HEALTH AND WELLNESS CENTER - DBA