Provider Demographics
NPI:1285711804
Name:GOOLSBY, WILLIAM E (DC)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:E
Last Name:GOOLSBY
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 1:26743 US HIGHWAY 380 E STE 100
Mailing Address - Street 2:
Mailing Address - City:AUBREY
Mailing Address - State:TX
Mailing Address - Zip Code:76227-8309
Mailing Address - Country:US
Mailing Address - Phone:972-347-3400
Mailing Address - Fax:972-675-7742
Practice Address - Street 1:26743 US HIGHWAY 380 E STE 100
Practice Address - Street 2:
Practice Address - City:AUBREY
Practice Address - State:TX
Practice Address - Zip Code:76227-8309
Practice Address - Country:US
Practice Address - Phone:972-347-3400
Practice Address - Fax:972-675-7742
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2020-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7850111NR0400X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation
No111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0030CZOtherBCBS GROUP NUMBER
TX5080756OtherAETNA PROVIDER NUMBER
TX87570SOtherBCBS PROVIDER NUMBER
TX8B2588Medicare PIN
TXU70214Medicare UPIN