Injury Care Clinic

LBN: Back To Wellness Center
Injury Care Clinic is an health care organization with primary practice located at 3930 W Vickery Blvd , Fort Worth TX 76107-5626. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Back To Wellness Center can be contacted via phone (817) 732-3344, or through Erwin, Beauford T. via phone (817) 732-3344.

Contact Information

Primary practice address
3930 W Vickery Blvd Fort Worth TX 76107-5626
Phone: (817) 732-3344
Fax: (817) 732-3353
Website:
Map and Directions
Authorized official contact:
Name: Erwin, Beauford T. Doctor of Chiropractic (DC)
Phone: (817) 732-3344

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DC8345 Texas

Profile Details

NPI number 1376676957
LBN Legal business name Back To Wellness Center
DBA Doing business as Injury Care Clinic
Authorized official Erwin, Beauford T. Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 13th, 2007
Last updated Oct 9th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376676957 NPPES
Texas Other 0053KN BCBS GROUP #

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