Individual provider · Type 1 NPI
Gena Menzdorf Wickes, DC
Chiropractor · Dallas, TX
NPI number
1659690162
Active
Practice location
6424 Camille Ave
Dallas, TX 75252-5439
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 11458 (TX) |
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.
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About NPI 1659690162
Gena Menzdorf Wickes, DC's National Provider Identifier is 1659690162, issued on May 24, 2010. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Dallas, TX. The record was last updated on May 24, 2010.