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FIRST MOUNTAIN STAR INJURY CLINIC NPI 1275716425


NPI Information

NPI: 1275716425
Provider Name: FIRST MOUNTAIN STAR INJURY CLINIC

Former Legal Business Name: MOUNTAIN STAR INJURY CLINIC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
5630 GATEWAY BLVD E
STE. 5-E
EL PASO, TX
ZIP 79905
Phone: (915) 781-7827
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FIRST MOUNTAIN STAR INJURY CLINIC is a chiropractor in El Paso, 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. FIRST MOUNTAIN STAR INJURY CLINIC NPI is 1275716425. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Mountain Star Injury Clinic.

The provider's business location address is:

5630 GATEWAY BLVD E
STE. 5-E
EL PASO, TX
ZIP 79905-748
Phone: (915) 781-7827
Fax: (915) 781-0884

The provider's authorized official is Art Archuleta .
The authorized official title is President and has the following contact phone number (915) 781-7827.

The enumeration date for this NPI number is 12/11/2007 and was last updated on 12/11/2007.


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
1111N00000XChiropractor4847TEXASNo
2111N00000XChiropractor9245TEXASYes

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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