Provider Demographics
NPI:1194923425
Name:ARECE HEALTHCARE PC
Entity type:Organization
Organization Name:ARECE HEALTHCARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:QUENTIN
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:817-275-3020
Mailing Address - Street 1:PO BOX 419
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-0419
Mailing Address - Country:US
Mailing Address - Phone:817-919-0145
Mailing Address - Fax:817-275-6128
Practice Address - Street 1:1831 BROWN BLVD STE 106
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76006-4600
Practice Address - Country:US
Practice Address - Phone:817-275-3020
Practice Address - Fax:817-275-6128
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-09
Last Update Date:2007-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9658111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty