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Organization
TERAVISTA FAMILY WELLNESS, PLLC
Active
Organization
TERAVISTA FAMILY WELLNESS, PLLC
Active
Other names
Family Wellness at Teravista
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WOODROW BOLDEN HARRIS III D.C. (OWNER)
(512) 248-9355
Entity
Organization
Contact information
Practice address
4000 SUNRISE RD STE 3200, ROUND ROCK, TX 78665-1239
(512) 248-9355
(512) 233-1010
Mailing address
4000 SUNRISE RD STE 3200, ROUND ROCK, TX 78665-1239
(512) 248-9355
(512) 233-1010
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
9952
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00318024
RAILROAD MEDICARE
TX
Enumeration date
07/11/2014
Last updated
09/17/2019
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