Provider Demographics
NPI:1083045462
Name:FAMILY, SPORTS & GOLF CHIROPRACTIC
Entity Type:Organization
Organization Name:FAMILY, SPORTS & GOLF CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:G
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:806-698-0102
Mailing Address - Street 1:6302 FRANKFORD AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79424-1220
Mailing Address - Country:US
Mailing Address - Phone:806-698-0102
Mailing Address - Fax:806-698-0584
Practice Address - Street 1:6302 FRANKFORD AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-1220
Practice Address - Country:US
Practice Address - Phone:806-698-0102
Practice Address - Fax:806-698-0584
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-10
Last Update Date:2013-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty