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Organization
TERRELL CHIROPRACTIC AND WELLNESS CENTER, INC
Active
Organization
TERRELL CHIROPRACTIC AND WELLNESS CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CORINA MCCLARY WILD DC (CIROPRACTOR/OWNER)
(214) 789-0549
Entity
Organization
Contact information
Practice address
1409 W MOORE AVE, TERRELL, TX 75160-2303
(972) 563-1557
Mailing address
1409 W MOORE AVE, TERRELL, TX 75160-2303
(972) 563-1557
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1982187381
PERSONAL NPI
TX
Enumeration date
10/08/2018
Last updated
10/08/2018
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