PREDDY CHIROPRACTIC PC NPI 1740307974

NPI Information

NPI: 1740307974
Provider Name: PREDDY CHIROPRACTIC PC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
921 SHILOH RD
STE A-200
TYLER, TX
ZIP 75703
Phone: (903) 581-2776
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PREDDY CHIROPRACTIC PC is a chiropractor in Tyler, TX. The provider is 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. PREDDY CHIROPRACTIC PC NPI is 1740307974. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

921 SHILOH RD
STE A-200
TYLER, TX
ZIP 75703-431
Phone: (903) 581-2776
Fax: (903) 581-4035

The provider's authorized official is Allan George Preddy .
The authorized official title is Owner and has the following contact phone number (903) 581-2776.

The enumeration date for this NPI number is 3/23/2007 and was last updated on 6/9/2011.

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
1	111N00000X	Chiropractor		6103	TEXAS	Yes

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
1	C06050859	MEDICAID	TEXAS
2	8K9990	OTHER	TEXAS	BLUECROSSBLUESHIELD
3	U47635	MEDICARE UPIN	TEXAS
4	605085	MEDICARE ID-TYPE UNSPECIFIED	TEXAS

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

NPI Synchronization or Removal

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