Organization
FUNCTIONALMED.ORG
Active
Organization
FUNCTIONALMED.ORG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANA D WOOLVERTON D.C. (CHIEF EXECUTIVE OFFICER)
(972) 877-7767
Entity
Organization
Contact information
Practice address
9710 COUNTY ROAD 2426, TERRELL, TX 75160-8825
(972) 877-7767
(972) 767-0939
Mailing address
9710 COUNTY ROAD 2426, TERRELL, TX 75160-8825
(972) 877-7767
(972) 767-0939
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
Other
Enumeration date
02/19/2011
Last updated
02/19/2011
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