Organization
PAUL CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP WADE PAUL DC (PRESIDENT)
(972) 636-9008
Entity
Organization
Contact information
Practice address
224 E MAIN ST, ROYSE CITY, TX 75189-3723
(972) 636-9008
Mailing address
PO BOX 517, ROYSE CITY, TX 75189-0517
(972) 636-9008
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
6468
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0009DX
BCBS
TX
Enumeration date
05/15/2008
Last updated
05/15/2008
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