Provider Demographics
NPI:1063032910
Name:RC CHIROPRACTIC, LLC
Entity Type:Organization
Organization Name:RC CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RICARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:CAZARES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:915-217-0193
Mailing Address - Street 1:6955 N MESA ST STE 112
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-4424
Mailing Address - Country:US
Mailing Address - Phone:915-217-0193
Mailing Address - Fax:915-703-6020
Practice Address - Street 1:6955 N MESA ST STE 112
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-4424
Practice Address - Country:US
Practice Address - Phone:915-217-0193
Practice Address - Fax:915-703-6020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-21
Last Update Date:2020-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Multi-Specialty