Provider Demographics
NPI:1992839997
Name:WEATHERFORD CHIROPRACTIC HEALTH CENTER PA
Entity Type:Organization
Organization Name:WEATHERFORD CHIROPRACTIC HEALTH CENTER PA
Other - Org Name:WRIGHT CHIROPRACTIC HEALTH CENTER PA
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:M
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:817-594-5944
Mailing Address - Street 1:702-B EUREKA ST
Mailing Address - Street 2:
Mailing Address - City:WEATHERFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76086-6519
Mailing Address - Country:US
Mailing Address - Phone:817-594-5944
Mailing Address - Fax:817-594-8495
Practice Address - Street 1:702-B EUREKA ST
Practice Address - Street 2:
Practice Address - City:WEATHERFORD
Practice Address - State:TX
Practice Address - Zip Code:76086-6519
Practice Address - Country:US
Practice Address - Phone:817-594-5944
Practice Address - Fax:817-594-8495
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8933111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX25LWOtherBCBS
TXU84903Medicare UPIN
TX00578XMedicare ID - Type UnspecifiedMEDICARE