WILSON CHIROPRACTIC AND ACUPUNCTURE PLLC (NPI# 1720293699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720293699 |
| Entity Type | Organization |
| Organization Name | WILSON CHIROPRACTIC AND ACUPUNCTURE PLLC |
| Other Organization Name | EAST TEXAS FAMILY CHIROPRACTIC |
| Practice Address |
1040 S Fleishel Ave Suite 4 Tyler TX 75701-2044 |
| Practice Telephone | 9035359355 |
| Practice Fax Number | 9035355053 |
| Mailing Telephone | 9035359355 |
| Mailing Fax Number | 9035355053 |
| Enumeration Date | 2007-05-13 |
| Last Update Date | 2007-10-11 |
| Authorized Official Name | DR. BENJAMIN G WILSON (OWNER) |
| Authorized Official Telephone | 9035359355 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | TX | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| East Texas Family Chiropractic | Doing Business As Name - Organization |
| Street Address |
1040 S FLEISHEL AVE SUITE 4 |
| City | TYLER |
| State | TX |
| Zip Code | 75701-2044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891797429 | Mark Richard Robbins | Surgery | 1040 S Fleishel Ave, Tyler, TX 75701-2031 | 2005-08-12 |
| 1346718400 | Lesle Jo Brewer | Specialist/Technologist, Other | 1040 S Fleishel Ave, Tyler, TX 75701-2031 | 2018-11-07 |
| 1235667650 | Erica Denise Stegall | Surgery | 1040 S Fleishel Ave, Tyler, TX 75701-2031 | 2017-05-30 |
| 1316308554 | Tonya Langley | Specialist/Technologist, Other | 1040 S Fleishel Ave, Tyler, TX 75701-2031 | 2016-03-16 |
| 1760680953 | Angela Harden | Physician Assistant | 1040 S Fleishel Ave, Tyler, TX 75701-2031 | 2007-07-10 |
| 1952439028 | Benjamin Gregg Wilson | Chiropractor | 1040 S Fleishel Ave, Suite 4, Tyler, TX 75701-2044 | 2007-03-01 |
| 1265544605 | Texas Health Care Group of Longview, LLC | Home Health | 1040 S Fleishel Ave, Suite A, Tyler, TX 75701-2044 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962057059 | Gonzalo Fernandez | Physical Therapy Assistant | 753 S Beckham Ave, Tyler, TX 75701 | 2019-08-06 |
| 1215422654 | Adrianna Bussell | Nurse Practitioner | 1000 South Beckham, Tyler, TX 75701 | 2018-06-28 |
| 1285128017 | Idowu Akintokunbo Akinyele | Dentist | Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 | 2018-06-15 |
| 1992208912 | Heather Renee Vancleave | Occupational Therapy Assistant | 1228 Louann Lane, Tyler, TX 75701 | 2018-03-15 |
| 1497260533 | Smile Workshop Mckinney, Pllc | Dentist | 301 N. Custer Rd, Mckinney, TX 75701 | 2017-12-12 |
| 1396266441 | Eye Surgery Center of East Texas, Pllc | Clinic/Center | 2448 E 5th St, Tyler, TX 75701 | 2017-06-29 |
| 1962936369 | Collins Complete Family Care | Nurse Practitioner | 1910 E Se Loop 323 # 176, Tyler, TX 75701 | 2017-04-12 |
| 1386187052 | Fellowship Health Team LLC | Home Health | 1124 S Fleishel Ave, Tyler, TX 75701 | 2016-11-29 |
| 1205382454 | Brenton Robinson | Nurse Practitioner | 1100 East Lake St, 160, Tyler, TX 75701 | 2016-08-28 |
| 1851846208 | Care First Pharmacy, LLC | Pharmacy | 1910 Roseland Blvd A, Tyler, TX 75701 | 2016-08-15 |
| Find all providers in zip 75701 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770052532 | Refinery Chiropractic LLC | Chiropractor | 16637 Old Jacksonville Hwy, Suite D, Tyler, TX 75703 | 2018-11-21 |
| 1962988402 | Blake Danton Carroll | Chiropractor | 6573 Old Jacksonville Hwy Ste 100, Tyler, TX 75703-0722 | 2018-07-18 |
| 1689180259 | Align Family Chiropractic LLC | Chiropractor | 117 W Hughes Street, Tyler, MN 56178 | 2017-12-19 |
| 1053840553 | Jennifer Golden | Chiropractor | 5348 Old Jacksonville Hwy Apt 1312, Tyler, TX 75703-3366 | 2017-06-08 |
| 1457895237 | William Chad Adcock | Chiropractor | 5524 Old Jacksonville Hwy, Tyler, TX 75703-3378 | 2016-12-13 |
| 1962861138 | Erik Malone | Chiropractor | 140 E 9th St, Tyler, TX 75701-4227 | 2016-02-17 |
| 1487023743 | Tiffany Sarmiento | Chiropractor | 3526 S Broadway Ave, Tyler, TX 75701-8707 | 2015-09-16 |
| 1619368941 | Jimmy Brian Sullivan | Chiropractor | 621 Shelley Park Plz, Tyler, TX 75701-9457 | 2015-02-09 |
| 1285041087 | James Gardner | Chiropractor | 3316 Woods Blvd, Tyler, TX 75707-1656 | 2014-07-14 |
| 1326466046 | Hendricks Chiropractic, P.a. | Chiropractor | 1213 Doctors Dr., Hendricks Chiropractic P.a., Tyler, TX 75701 | 2014-03-31 |
| Find all providers in TYLER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.