Provider Demographics
NPI:1194921866
Name:TCAC, INC.
Entity type:Organization
Organization Name:TCAC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNERDOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MICAH
Authorized Official - Middle Name:A
Authorized Official - Last Name:WESSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:903-465-2022
Mailing Address - Street 1:1105 MEMORIAL DR STE 210
Mailing Address - Street 2:
Mailing Address - City:DENISON
Mailing Address - State:TX
Mailing Address - Zip Code:75020-2043
Mailing Address - Country:US
Mailing Address - Phone:903-465-0200
Mailing Address - Fax:903-465-0201
Practice Address - Street 1:1105 MEMORIAL DR STE 210
Practice Address - Street 2:
Practice Address - City:DENISON
Practice Address - State:TX
Practice Address - Zip Code:75020-2043
Practice Address - Country:US
Practice Address - Phone:903-465-0200
Practice Address - Fax:903-465-0201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5781111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty