Organization
ADDISON CHIROPRACTIC, PA
Active
Other names
Addison Chiropractic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MADELINE WITTE GLASS DC (PRESIDENT)
(972) 789-9333
Entity
Organization
Contact information
Practice address
4540 BELT LINE RD, ADDISON, TX 75001-4515
(972) 789-9333
(972) 789-9557
Mailing address
4540 BELT LINE RD, ADDISON, TX 75001-4515
(972) 789-9333
(972) 789-9557
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
10196
TX
111N00000X
Chiropractor
Primary
8594
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0097NC
BLUE CROSS GROUP NUMBER
TX
Enumeration date
06/06/2007
Last updated
08/22/2020
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