Provider Demographics
NPI:1063118891
Name:LIFE TOUCH CHIROPRACTIC AND WELLNESS GROUP, PLLC
Entity type:Organization
Organization Name:LIFE TOUCH CHIROPRACTIC AND WELLNESS GROUP, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:STOKES
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:214-214-3236
Mailing Address - Street 1:2929 N CENTRAL EXPY STE 310
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-2046
Mailing Address - Country:US
Mailing Address - Phone:214-484-3236
Mailing Address - Fax:214-730-0948
Practice Address - Street 1:2929 N CENTRAL EXPY STE 310
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-2046
Practice Address - Country:US
Practice Address - Phone:214-484-3236
Practice Address - Fax:214-730-0948
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-02
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty