Wilson Chiropractic Clinic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4384 Issued in TX

Legal business name

WILSON CHIROPRACTIC CLINIC

Practice address

2005 E Grand Ave
Marshall, TX 75672

Phone

(903) 935-0949

Fax

(903) 935-0949

NPI assigned

Apr 12, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kevin F Wilson, DC

Title

Owner

Phone

(903) 935-0949

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214092800000",
    "number": "1689898488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2006",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "75671",
            "telephone_number": "903-935-0949",
            "fax_number": "903-935-0949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 E GRAND AVE",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "75672",
            "telephone_number": "903-935-0949",
            "fax_number": "903-935-0949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2008-06-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-935-0949",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "4384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Whitaker, CST
• Stephanie Sue White, APRN, PMHNP-BC
• Laterrian Wiley
• Johnetta Williams, R.N.
• Philleniea Williams, MAR
• Winnie-Stowell Hospital District
• Winnie-Stowell Hospital District
• Scott Witte
• Donna Wright
• Geraldine Young, LPC LICENSED PROFESS

• Chiropractor in Marshall, TX
• Providers in Marshall, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.