| Woolverton Chiropractic Dc Pc | |
|
2093 N Collins Blvd Ste 105, Richardson, TX 75080-8302 | |
| (972) 231-4231 | |
| (972) 907-8900 |
| Full Name | Woolverton Chiropractic Dc Pc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 2093 N Collins Blvd Ste 105, Richardson, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689859282 | NPI | - | NPPES |
| 00T33U | Other | TX | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 4828 (Texas) | Primary |
| Provider Name | Winford O Woolverton |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1457456352 PECOS PAC ID: 7517044696 Enrollment ID: I20100427000155 |
| Provider Name | Tracey S Wiest |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1619072535 PECOS PAC ID: 8426135500 Enrollment ID: I20120430000112 |
| Mailing Address | Practice Location Address |
|---|---|
| Woolverton Chiropractic Dc Pc 2093 N Collins Blvd Ste 105, Richardson, TX 75080-8302 Ph: (972) 231-4231 | Woolverton Chiropractic Dc Pc 2093 N Collins Blvd Ste 105, Richardson, TX 75080-8302 Ph: (972) 231-4231 |
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