FREEFORM CHIROPRACTIC TROPHY CLUB LLC (NPI# 1861025611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861025611 |
| Entity Type | Organization |
| Organization Name | FREEFORM CHIROPRACTIC TROPHY CLUB LLC |
| Practice Address |
2240 Sh 114 Suite 650 Trophy Club TX 76262 |
| Mailing Address |
930 Hilltop Dr Ste 102 Weatherford TX 76086-5943 |
| Practice Telephone | 8173084309 |
| Practice Fax Number | 8175981150 |
| Mailing Telephone | 8173084309 |
| Mailing Fax Number | 8175981150 |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2020-02-20 |
| Authorized Official Name | DR. CARL DAVID MCAFEE JR. (OWNER) |
| Authorized Official Telephone | 8173084309 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Street Address |
2240 SH 114 SUITE 650 |
| City | TROPHY CLUB |
| State | TX |
| Zip Code | 76262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932748498 | Legacy Physical Therapy and Wellness | Physical Therapist | 351 N Byron Nelson Blvd, Suite 110, Roanoke, TX 76262 | 2020-01-02 |
| 1497399687 | Roanoke Foot & Ankle Institute, Pllc | Podiatrist | 351 W Byron Nelson Blvd, Suite 100, Roanoke, TX 76262 | 2019-10-31 |
| 1710470810 | Maria Guadalupe Madera | Dentist | 5000 Highway 114, Unit 130, Northlake, TX 76262 | 2018-06-13 |
| 1912414251 | 6 Day Dental Group - Roanoke, Pllc | Clinic/Center | 200 Tx-114, Roanoke, TX 76262 | 2018-01-09 |
| 1144746561 | Lone Star Neurosurgical Assistants | Physician Assistant | 1270 Casa Bella Ct, Westlake, TX 76262 | 2017-08-17 |
| 1710347562 | Randolph R West Dds Pllc | Dentist | 295 W. Byron Nelson Blvd, Ste 304, Roanoke, TX 76262 | 2016-03-07 |
| 1912367228 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 35 Arta Dr, Westlake, TX 76262 | 2016-02-29 |
| 1952760050 | Roanoke Dental Group,pc | Dentist | 1320 N Hwy 377 Suite 100, Roanoke, TX 76262 | 2016-02-17 |
| 1942683115 | Fatima Naurose Siraj | Dentist | 860 East Highway 114 Ideal Dental, Suite 200, Roanoke, TX 76262 | 2015-07-07 |
| 1881075927 | Kimberly Blythe Mcpherson | Optometrist | 72 Andorra Dr, Westlake, TX 76262 | 2015-06-15 |
| Find all providers in zip 76262 | ||||
| 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 |
|---|---|---|---|---|
| 1326570128 | Caressa Catherine Holland | Chiropractor | 404 Parkview Dr, Trophy Club, TX 76262-4209 | 2017-03-30 |
| 1487978649 | Aaron Young | Chiropractor | 625 Parkview Dr Ste 103, Trophy Club, TX 76262-4218 | 2010-03-17 |
| 1295972156 | Bryan John Hapka | Chiropractor | 100 Trophy Club Dr, Ste. 107, Trophy Club, TX 76262-3411 | 2009-01-14 |
| 1831345453 | Ford Wellness and Rehab | Chiropractor | 100 Trophy Club Dr., Trophy Club, TX 76262 | 2008-08-14 |
| 1306046156 | Aislin M Gerow | Chiropractor | 501 Trophy Lake Dr Ste 322, Trophy Club, TX 76262-5239 | 2007-07-19 |
| 1023228681 | Leslie E Ford | Chiropractor | 2003 Hwy114, Ste 340, Trophy Club, TX 76262 | 2007-05-23 |
| 1104851682 | Stephanie Ann Bartuch | Chiropractor | 501 Trophy Lake Dr, Trophy Club, TX 76262-5222 | 2006-07-12 |
| 1265068936 | Metroplex Spinal & Sports Chiropractic, Ltd. | Chiropractor | 501 Trophy Lake Dr, Trophy Club, TX 76262-5222 | 2020-03-13 |
| 1790175040 | Tcr Chiropractic Pllc | Chiropractor | 625 Parkview Dr Ste 103, Trophy Club, TX 76262-4218 | 2015-01-26 |
| 1891076501 | Lhk Holdings LLC | Chiropractor | 501 Trophy Lake Dr, 322, Trophy Club, TX 76262-5222 | 2011-09-08 |
| Find all providers in TROPHY CLUB | ||||
| City | TROPHY CLUB |
| Zip Code | 76262 |
Please comment or provide details below to improve the information on FREEFORM CHIROPRACTIC TROPHY CLUB LLC.
| 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.