Provider Demographics
NPI:1073645982
Name:EVOLUTION MANAGEMENT INC
Entity Type:Organization
Organization Name:EVOLUTION MANAGEMENT INC
Other - Org Name:GATEWAY CHIROPRACTIC CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CLAUDIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:HAZAGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-708-8886
Mailing Address - Street 1:313 W VILLAGE BLVD
Mailing Address - Street 2:STE 106
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041
Mailing Address - Country:US
Mailing Address - Phone:956-728-8888
Mailing Address - Fax:956-728-8889
Practice Address - Street 1:313 W VILLAGE BLVD
Practice Address - Street 2:STE 106
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041
Practice Address - Country:US
Practice Address - Phone:956-728-8888
Practice Address - Fax:956-728-8889
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty