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Organization
SANDERS CHIROPRACTIC
Active
Organization
SANDERS CHIROPRACTIC
Active
Other names
Gary W. Sanders Chiropractic Clinic P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY W SANDERS D.C. (DOCTOR/OWNER)
(817) 237-2930
Entity
Organization
Contact information
Practice address
4712 BOAT CLUB RD, FORT WORTH, TX 76135-2002
(817) 237-2930
(817) 237-4143
Mailing address
4712 BOAT CLUB RD, FORT WORTH, TX 76135-2002
(817) 237-2930
(817) 237-4143
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4758
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1770623449
NPI FOR SOLE PROPRIETOR
TX
01
—
TXB129427
MEDICARE PTAN
TX
Enumeration date
11/19/2010
Last updated
07/14/2014
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