Individual provider · Type 1 NPI
Marcus L. Waller, DC
Chiropractor · Desoto, TX
NPI number
1922501097
Active
Practice location
901 N Polk St Ste 349
Desoto, TX 75115-4014
Mailing address
2923 Alyson Way
Grand Prairie, TX 75052-0429
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 13705 (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 1922501097
Marcus L. Waller, DC's National Provider Identifier is 1922501097, issued on Mar 14, 2018. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Desoto, TX. The record was last updated on Mar 14, 2018.