Organization
BACK TO WELLNESS CENTER
Active
Other names
Injury Care Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEAUFORD T. ERWIN III D.C. (OWNER)
(817) 732-3344
Entity
Organization
Contact information
Practice address
3930 W VICKERY BLVD, FORT WORTH, TX 76107-5626
(817) 732-3344
(817) 732-3353
Mailing address
3930 W VICKERY BLVD, FORT WORTH, TX 76107-5626
(817) 732-3344
(817) 732-3353
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC8345
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0053KN
BCBS GROUP #
TX
Enumeration date
03/13/2007
Last updated
10/09/2008
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