SLADE CHIROPRACTIC PLLC
Ambulatory Health at Wills Creek Ln, Fort Worth, TX

License number
Texas 12482
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: DR. JASON MCCOY SLADE D.C.
Title: OWNER
Phone: (951) 805-5473
Address
Address
5656 Wills Creek Ln, Fort Worth, TX 76179
National Provider ID: 1124441506
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SLADE CHIROPRACTIC PLLC

5656 Wills Crk Ln, Fort Worth, TX 76179

Doing business as:
Slade Chiropractic Pllc
Registration:
Jan 1, 2014
State ID:
0801909362
Business type:
Domestic Limited Liability Company (LLC)
OWNER, Member:
Jason Slade (OWNER, Member), 5656 Wills Crk Ln, Fort Worth, TX 76179
Agent:
Jason M Slade,5656 Wills Crk Ln, Fort Worth, TX 76179 (Physical)
TIN:
32052826578

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