Provider Demographics
NPI:1386960490
Name:BEST CHOICE CHIROPRACTIC AND WELLNESS CENTER
Entity type:Organization
Organization Name:BEST CHOICE CHIROPRACTIC AND WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELVA
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:817-534-6100
Mailing Address - Street 1:2512 OAKLAND BLVD STE 12
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76103-3238
Mailing Address - Country:US
Mailing Address - Phone:817-534-6100
Mailing Address - Fax:
Practice Address - Street 1:2512 OAKLAND BLVD STE 12
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76103-3238
Practice Address - Country:US
Practice Address - Phone:817-534-6100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FORT WORTHS BEST CHOICE ENTERPRISE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-04-14
Last Update Date:2010-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10802111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty