| Organization Name: | TOTAL HEALTH CLINIC INC |
| NPI Number: | 1033168968 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN ANTHONY WOODS (EXECUTIVE DIRECTOR) |
| Mailing Address: | 4611 S Main St Ste. #7 Stafford |
| State: | TX US |
| Postal Code: | 774774731 |
| Phone Number: | 2812778396 |
| Fax Number: | 2813130590 |
| NPI Enumeration Date: | 05/08/2006 |
| NPI Last Update Date: | 11/14/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 15405 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |