Provider Demographics
NPI:1982624755
Name:TEXAS HEALTH & WELLNESS CENTERS, P.A.
Entity Type:Organization
Organization Name:TEXAS HEALTH & WELLNESS CENTERS, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:FLAHERTY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:214-383-5305
Mailing Address - Street 1:PO BOX 948
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-0015
Mailing Address - Country:US
Mailing Address - Phone:214-383-5305
Mailing Address - Fax:214-383-5340
Practice Address - Street 1:997 RAINTREE CIR
Practice Address - Street 2:SUITE #150
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-4949
Practice Address - Country:US
Practice Address - Phone:214-383-5305
Practice Address - Fax:214-383-5340
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-21
Last Update Date:2014-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9009111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8CA312OtherBCBS OF TEXAS PROVIDER NUMBER (OUT NETWORK)
TX8CA312OtherBCBS OF TEXAS PROVIDER NUMBER (OUT NETWORK)