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Contact Information

EAST TEXAS CHIROPRACTIC OF JASPER, PA
799 W. GIBSON
STE 700
JASPER, TX75948
 Phone: 409-384-7776
 Fax: 409-384-7779
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for EAST TEXAS CHIROPRACTIC OF JASPER, PA

NPI Number 1699893230
LBN Legal business name EAST TEXAS CHIROPRACTIC OF JASPER, PA
Authorized official BRIC LANGFORD - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/26/2007
Last updated 08/28/2012 - About 14 years ago
Identifiers
TX License # 11267
TX License # 11268
TX License # DC6063
TX Medicaid 0884470-01
TX Other DC6063 STATE LICENSE NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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