Provider Demographics
NPI:1063218998
Name:BLOODWORTH CHIROPRACTIC LLC
Entity type:Organization
Organization Name:BLOODWORTH CHIROPRACTIC LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:BLOODWORTH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:214-403-1222
Mailing Address - Street 1:5715 CALADIUM DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-2623
Mailing Address - Country:US
Mailing Address - Phone:214-403-1222
Mailing Address - Fax:
Practice Address - Street 1:3204 E HEBRON PKWY
Practice Address - Street 2:SUITE 230
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75007
Practice Address - Country:US
Practice Address - Phone:214-403-1222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-21
Last Update Date:2025-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty