Provider Demographics
NPI:1982859153
Name:ASSOCIATED CHIROPRACTIC PROFESSIONALS, P.A.
Entity Type:Organization
Organization Name:ASSOCIATED CHIROPRACTIC PROFESSIONALS, P.A.
Other - Org Name:WOODWARD CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:WOODWARD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:972-490-9888
Mailing Address - Street 1:5353 ALPHA RD STE 110A
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75240-7340
Mailing Address - Country:US
Mailing Address - Phone:972-490-9888
Mailing Address - Fax:972-490-9830
Practice Address - Street 1:2829 ENCHANTED EVE DR
Practice Address - Street 2:
Practice Address - City:LITTLE ELM
Practice Address - State:TX
Practice Address - Zip Code:75068-7811
Practice Address - Country:US
Practice Address - Phone:972-490-9888
Practice Address - Fax:972-490-9830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-01
Last Update Date:2008-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8755111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty