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ETX CHIROPRACTIC INC NPI 1487206900


NPI Information

NPI: 1487206900
Provider Name: ETX CHIROPRACTIC, INC

Doing Business As: ATLAS CHIROPRACTIC

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
1121 EVERGREEN ST
LONGVIEW, TX
ZIP 75604
Phone: (903) 759-5567
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ETX CHIROPRACTIC, INC is a clinic center in Longview, TX. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). ETX CHIROPRACTIC, INC NPI is 1487206900. The provider is registered as an organization entity type.
The provider Is Doing Business As Atlas Chiropractic.

The provider's business location address is:

1121 EVERGREEN ST
LONGVIEW, TX
ZIP 75604-130
Phone: (903) 759-5567
Fax: (903) 759-5631

The provider's authorized official is Craig Lynn Raschke .
The authorized official title is Owner/president and has the following contact phone number (817) 889-0983.

The enumeration date for this NPI number is 7/15/2019 and was last updated on 8/15/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11790103448OTHERTEXASNPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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