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HOMETOWN CHIROPRACTIC PLLC NPI 1356678718


NPI Information

NPI: 1356678718
Provider Name: HOMETOWN CHIROPRACTIC, PLLC

Former Legal Business Name: HOMETOWN CHIROPRACTIC AND REHAB

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
2200 W ENNIS AVE
SUITE A
ENNIS, TX
ZIP 75119
Phone: (972) 875-8600
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HOMETOWN CHIROPRACTIC, PLLC is a chiropractor in Ennis, 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. HOMETOWN CHIROPRACTIC, PLLC NPI is 1356678718. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Hometown Chiropractic And Rehab.

The provider's business location address is:

2200 W ENNIS AVE
SUITE A
ENNIS, TX
ZIP 75119-054
Phone: (972) 875-8600
Fax: (972) 875-8481

The provider's authorized official is Jesus Marcial .
The authorized official title is Chiropractor and has the following contact phone number (972) 875-8676.

The enumeration date for this NPI number is 11/5/2009 and was last updated on 10/12/2014.


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
1111N00000XChiropractor9980TEXASYes

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
1POO389949OTHERTEXASRAIL ROAD MEDICARE
2VO8429MEDICARE UPINTEXAS
3608125OTHERTEXASBLUE CROSS BLUE SHIELD OF TEXAS
4TXB121190MEDICARE PINTEXAS
5186463901MEDICAIDTEXAS

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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