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NORTHWEST TEXAS SPINE CENTER LLC NPI 1154361996


NPI Information

NPI: 1154361996
Provider Name: NORTHWEST TEXAS SPINE CENTER LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization

CLIA Number: 45D2131469

Address:
1600 S COULTER ST
E701
AMARILLO, TX
ZIP 79106
Phone: (806) 367-8480
Get Directions

NORTHWEST TEXAS SPINE CENTER LLC is a chiropractor in Amarillo, 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. NORTHWEST TEXAS SPINE CENTER LLC NPI is 1154361996. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1600 S COULTER ST
E701
AMARILLO, TX
ZIP 79106-710
Phone: (806) 367-8480
Fax: (806) 367-7789

The provider's authorized official is Darrell Eugene West .
The authorized official title is Owner and has the following contact phone number (806) 367-8480.

The CLIA number assigned to this NPI record is 45D2131469 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/8/2006 and was last updated on 6/11/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor9301TEXASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18F2984MEDICARE UPINTEXAS
25775070001MEDICARE NSCTEXAS

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: 4/28/2024

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