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Individual

DR. MICHAEL DAVID WOLFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
22560 SH249, SUITE 200, HOUSTON, TX 77070
(832) 761-7217
(832) 761-7218
Mailing address
22560 SH249, SUITE 200, HOUSTON, TX 77070-1557
(832) 761-7217
(832) 761-7218

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
9580
TX
111NS0005X
Sports Physician Chiropractor
Primary
9580
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
608457
BLUE CROSS BLUE SHIELD
TX
Enumeration date
10/26/2006
Last updated
10/04/2018
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