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Organization
WOLFF CHIROPRACTIC WELLNESS CENTER P.A.
Active
Organization
WOLFF CHIROPRACTIC WELLNESS CENTER P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT JOHN WOLFF D.C. (PRESIDENT)
(940) 552-9951
Entity
Organization
Contact information
Practice address
3720 WILBARGER ST, VERNON, TX 76384-3259
(940) 552-9951
(940) 552-2382
Mailing address
3720 WILBARGER ST, VERNON, TX 76384-3259
(940) 552-9951
(940) 552-2382
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0013096-01
—
TX
01
—
0A3551
MEDICARE GROUP PTAN
TX
01
—
40LH
BLUE CROSS BLUE SHIELD
TX
Enumeration date
03/30/2007
Last updated
05/27/2009
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