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Organization
TREE OF LIFE CHIROPRACTIC & WELLNESS
Active
Organization
TREE OF LIFE CHIROPRACTIC & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEN WILSON (DC)
(214) 547-7234
Entity
Organization
Contact information
Practice address
309 S JUPITER RD, SUITE 100, ALLEN, TX 75002-3052
(214) 547-7234
Mailing address
309 S JUPITER RD, SUITE 100, ALLEN, TX 75002-3052
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
9922
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0020LT
BCBS GRP
TX
01
—
1770795783
NPI GRP
TX
01
—
1902881865
INDIVIDUAL NPI
TX
01
—
8P1151
BCBS INDIVIDUAL
TX
Enumeration date
05/03/2007
Last updated
06/18/2008
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