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GENESIS BACK AND NECK NPI 1548490873


NPI Information

NPI: 1548490873
Provider Name: GENESIS BACK AND NECK
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
520 E NORTHWEST HWY STE 102
GRAPEVINE, TX
ZIP 76051
Phone: (817) 391-0130
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GENESIS BACK AND NECK is a chiropractor in Grapevine, TX. The provider is 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. GENESIS BACK AND NECK NPI is 1548490873. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

520 E NORTHWEST HWY STE 102
GRAPEVINE, TX
ZIP 76051-298
Phone: (817) 391-0130
Fax: (817) 391-0136

The provider's authorized official is Blanca E Williams .
The authorized official title is Director and has the following contact phone number (817) 391-0130.

The enumeration date for this NPI number is 7/21/2009 and was last updated on 7/9/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor10536TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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