Provider Demographics
NPI:1124201520
Name:CROSBY CHIROPRACTIC CENTER PC INC
Entity Type:Organization
Organization Name:CROSBY CHIROPRACTIC CENTER PC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHADWICK
Authorized Official - Middle Name:M
Authorized Official - Last Name:THORNTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-328-5544
Mailing Address - Street 1:PO BOX 1565
Mailing Address - Street 2:
Mailing Address - City:CROSBY
Mailing Address - State:TX
Mailing Address - Zip Code:77532-1565
Mailing Address - Country:US
Mailing Address - Phone:281-328-5544
Mailing Address - Fax:281-328-4072
Practice Address - Street 1:5211 FM 2100
Practice Address - Street 2:
Practice Address - City:CROSBY
Practice Address - State:TX
Practice Address - Zip Code:77532
Practice Address - Country:US
Practice Address - Phone:281-328-5544
Practice Address - Fax:281-328-4072
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-10
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX10470OtherTBCE
TXT15635Medicare UPIN