Organization
ADVANCED WELLNESS & CHIROPRACTIC CLINIC
Active
Other names
Advanced Wellness & Chiropractic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
NEGIN R KHODAPARAST (PRESIDENT)
(972) 488-9686
Entity
Organization
Contact information
Practice address
4801 SPRING VALLEY RD STE 80, DALLAS, TX 75244-8226
(972) 488-9686
(972) 241-1936
Mailing address
4801 SPRING VALLEY RD STE 80, DALLAS, TX 75244-8226
(972) 488-9686
(972) 241-1936
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
9801
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1891866133
NPI
TX
Enumeration date
02/01/2018
Last updated
01/07/2022
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