Organization
RODNEY P WIRTH,DC PA
Active
Parent organization
RODNEY P WIRTH,DC PA
Other names
STANCE CHIROPRACTIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
RODNEY P WIRTH,DC PA
Authorized official
KRISTINA WYKLE (BILLING MANAGER)
(352) 708-3454
Entity
Organization
Contact information
Practice address
2401 AVENUE J STE 210, ARLINGTON, TX 76006-6118
(972) 262-7373
Mailing address
2401 AVENUE J STE 210, ARLINGTON, TX 76006-6118
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8086
STATE LICENSE
TX
Enumeration date
03/22/2019
Last updated
06/20/2019
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