Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Chiro One Wellness Center of South Lake PLLC

Organization Chiropractor · NPI 1255600912

Chiro One Wellness Center of South Lake PLLC provides Chiropractor services in Southlake, Texas. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

280 Commerce St Ste F
Southlake, TX 76092-9100 Not confirmed with CMS for 13 years — call before visiting
Phone: (817) 865-5520
Fax: (817) 865-5525
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X

Record details

NPI number1255600912
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sam Wang — Coo · (630) 468-1824
NPI enumeratedDecember 23, 2011
Last updated in NPPESNovember 9, 2012
Mailing addressPo Box 677624, Dallas, TX 75267-7624

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