Organization
ABUNDANT WELLNESS PC
Active
Other names
WELL SPINE AT VISTA
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES A MIXON DC (OWNER)
(972) 840-2520
Entity
Organization
Contact information
Practice address
1919 S. SHILOH, STE 107, GARLAND, TX 75042-8234
(972) 840-2520
(972) 840-2435
Mailing address
1919 S. SHILOH, STE 107, GARLAND, TX 75042-8234
(972) 840-2520
(972) 840-2435
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
9902
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
608122
BCBS
TX
Enumeration date
08/28/2008
Last updated
03/14/2016
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