Advanced Medical Team PA
Chiropractor in Wichita Falls, TX. Organization (NPI-2).
NPI number1265594501
StatusActive
Last updated in NPPESMay 3, 2019
Details
- NPI
- 1265594501
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Medical Team PA
- Organization subpart
- No
- Enumeration date
- Dec 14, 2006
- Last updated
- May 3, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 6286 | TX | Yes |
| 111N00000X | Chiropractor | 9671 | TX | |
| 207Q00000X | Family Medicine | – | – |
Other names
- Champions Clinic Of Physical Medicine & Rehab (Doing Business As)
Practice location
2934 Kemp BlvdWichita Falls, TX 76308-1017
Phone 940-264-1960 · Fax 940-264-1970
Mailing address
2934 Kemp BlvdWichita Falls, TX 76308-1017
Phone 940-264-1960 · Fax 940-264-1970
Authorized official
Rensay M Davis
Owner
9402641960
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