Provider Demographics
NPI:1154343648
Name:HOOD, WILLIAM KELLY (DC)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:KELLY
Last Name:HOOD
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3004
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:TX
Mailing Address - Zip Code:75762-3050
Mailing Address - Country:US
Mailing Address - Phone:903-894-4599
Mailing Address - Fax:903-894-5150
Practice Address - Street 1:10678 FM 346 WEST
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:TX
Practice Address - Zip Code:75762-8745
Practice Address - Country:US
Practice Address - Phone:903-894-4599
Practice Address - Fax:903-894-5150
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC 4246111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8R2020OtherBLUE CROSS BLUE SHIELD
TXT13902Medicare UPIN
TX8D0843Medicare ID - Type Unspecified