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Organization

SCIENCE OF WELLNESS

Active
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Organization

SCIENCE OF WELLNESS

Active
Other names
Gatewood Wellness Centre
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DOUGLAS ADAM GATEWOOD (MANAGING MEMBER)
(972) 704-1890
Entity
Organization

Contact information

Practice address
8811 TEEL PKWY, SUITE 180, FRISCO, TX 75034
(972) 704-1890
(972) 704-1891
Mailing address
8811 TEEL PKWY STE 180, FRISCO, TX 75034-4427
(972) 704-1890

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
10591
TX
111N00000X
Chiropractor
Primary
11587
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0044TY
BCBS
TX
01
—
1093028755
BCBS
TX
01
—
8CN790
BCBS
TX
01
—
8CN791
BCBS
TX
Enumeration date
07/22/2010
Last updated
11/04/2010
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