Doctor Name: | DR. DEREK DEE NELSON |
NPI Number: | 1124487640 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C. |
License Number: | 13155 |
Business Practice Address: | 3625 Western Center Blvd Fort Worth, TX - 761371936 |
Business Phone Number: | 8174987333 |
Business Fax Number: | 8175812866 |
Mailing Address: | Po Box 48370, FORT WORTH |
State: | TX |
Postal Code: | 761480370 |
Phone Number: | 8174987333 |
Fax Number: | 8175812866 |
NPI Enumeration Date: | 02/11/2016 |
NPI Last Update Date: | 02/11/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 13155 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |