Organization
CHIROPRACTIC WELLNESS CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LANCE A HOOSE DC (PRESIDENT)
(918) 742-0560
Entity
Organization
Contact information
Practice address
2442 E 21ST ST, TULSA, OK 74114-1749
(918) 742-0560
(918) 742-0605
Mailing address
2442 E 21ST ST, TULSA, OK 74114-1749
(918) 742-0560
(918) 742-0605
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3417
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00265256
RAILROAD MEDICARE
OK
Enumeration date
08/29/2007
Last updated
09/26/2013
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