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Eighteen95, Pa
Chiropractor in Grapevine, Texas
NPI 1205009412

Eighteen95, Pa is a Chiropractor based in Grapevine, TX. Eighteen95, Pa practices in Grapevine, TX. The NPI Number for Eighteen95, Pa is 1205009412 and holds a License No. 9378 (Texas).

The current practice location address for Eighteen95, Pa is 3500 William D. Tate, Grapevine, TX and can be reached out via phone at 817-421-4775 and via fax at 817-421-4303.

Location: 3500 William D. Tate, Grapevine, TX, 76051
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1205009412
Provider Name
Eighteen95, Pa
Credential
Provider Entity Type
Organization
Address
3500 William D. Tate, Grapevine, TX, 76051
Phone Number
817-421-4775
Fax Number
817-421-4303
Provider Enumeration Date
04/09/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
608860 01 TX BCBS
V115395 01 TX INTEGRATED HEALTH PLAN
8BB730 01 TX BCBS
institution
Provider Business Practice Location Address Details
Address
3500 William D. Tate
City
Grapevine
State
Texas
Zip
76051
Phone Number
817-421-4775
Fax Number
817-421-4303
person
Provider Business Mailing Address Details
Address
3500 William D. Tate
City
Grapevine
State
Texas
Zip
76051
Phone Number
817-421-4775
Fax Number
817-421-4303
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
9378 (Texas)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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