Dr. Jimmie Nathan Wooten IV
Rehabilitation Chiropractor
816 W Mcdermott Dr Ste 324
Allen
, Texas 75013-6505
Dr. Jimmie Nathan Wooten IV
Rehabilitation Chiropractor
816 W Mcdermott Dr Ste 324
Allen
, Texas 75013-6505
(972) 383-9545
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About
Features
Specialties
- Rehabilitation Chiropractor
Languages spoken
- English
Location
First Address
- Dr. Jimmie Nathan Wooten IV
- 816 W Mcdermott Dr Ste 324
- Allen, TX
- Zip : 75013-6505
- Phone : (972) 383-9545
Second Address
- Dr. Jimmie Nathan Wooten IV
- 816 W Mcdermott Dr Ste 324
- Allen, TX
- Zip : 75013-6505
- Fax : (214) 575-8855
- Phone : (972) 383-9545
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NR0400X | Rehabilitation Chiropractor | 10584 | TX |
National Provider Identifier
| NPI | 1295950921 |
|---|---|
| Provider Name | Dr. Jimmie Nathan Wooten IV |
| First Address | Allen, TX 75013-6505 |
| Second Address | Allen, TX 75013-6505 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/04/2007 |
| Last Update Date | 13/02/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.