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Organization
PARKER UNIVERSITY
Active
Organization
PARKER UNIVERSITY
Active
Other names
Dallas or Irving Chiropractic Wellness Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK BODNAR DC (DIRECTOR OF CLINICS)
(972) 438-6932
Entity
Organization
Contact information
Practice address
2600 ELECTRONIC LANE, DALLAS, TX 75220-1216
(972) 438-6932
(214) 902-3475
Mailing address
2540 WALNUT HILL LN, DALLAS, TX 75229-5609
(972) 438-6932
(214) 902-3475
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0A5810
BC/BS
TX
Enumeration date
08/30/2006
Last updated
10/25/2012
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