Provider Demographics
NPI:1558167601
Name:MCGREGOR, COREY JAMES (DC)
Entity type:Individual
Prefix:DR
First Name:COREY
Middle Name:JAMES
Last Name:MCGREGOR
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 W INTERSTATE 20 APT 7101
Mailing Address - Street 2:
Mailing Address - City:WEATHERFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76087-8314
Mailing Address - Country:US
Mailing Address - Phone:405-570-5971
Mailing Address - Fax:
Practice Address - Street 1:930 HILLTOP DR STE 102
Practice Address - Street 2:
Practice Address - City:WEATHERFORD
Practice Address - State:TX
Practice Address - Zip Code:76086-5943
Practice Address - Country:US
Practice Address - Phone:817-594-0281
Practice Address - Fax:817-598-1150
Is Sole Proprietor?:No
Enumeration Date:2025-02-20
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16393111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor