Provider Demographics
NPI:1922627801
Name:BEEWELL CHIROPRACTIC
Entity Type:Organization
Organization Name:BEEWELL CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LEAD CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:361-491-1321
Mailing Address - Street 1:206 S ZANG BLVD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75208-4519
Mailing Address - Country:US
Mailing Address - Phone:469-690-7674
Mailing Address - Fax:
Practice Address - Street 1:206 S ZANG BLVD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75208-4519
Practice Address - Country:US
Practice Address - Phone:469-690-7674
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BEEWELL CHIROPRACTIC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-04-10
Last Update Date:2020-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty