GATEWAY CHIROPRACTIC LLC
Managed Care Organizations at Hulen St, Fort Worth, TX

License number
Texas 10734
Category
Managed Care Organizations
Type
Point of Service
Owner
Name: DR. AARON LEE WALL D.C.
Title: DOCTOR OF CHIROPRACTIC
Phone: (817) 886-7545
Address
Address
3250 Hulen St STE 140, Fort Worth, TX 76107
National Provider ID: 1679879779
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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GATEWAY CHIROPRACTIC, LLC

3250 Hulen St STE 140, Fort Worth, TX 76107

Registration:
Nov 9, 2009
State ID:
0801192379
Business type:
Domestic Limited Liability Company (LLC)
Director, Presidents:
Payroll Expensesofficer (Director), 11809 Elko Ln, Fort Worth, TX 76108,Shanna Wall (Secretary), 11809 Elko Ln, Fort Worth, TX 76108,Aaron Wall (Director, President)
TIN:
32040647227

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