Provider Demographics
NPI:1134327729
Name:GEORGE A. DURHAM, D.C., P.C.
Entity Type:Organization
Organization Name:GEORGE A. DURHAM, D.C., P.C.
Other - Org Name:DURHAM CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:A
Authorized Official - Last Name:DURHAM
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:832-249-7246
Mailing Address - Street 1:5443 EVERHART RD
Mailing Address - Street 2:STE C
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-4888
Mailing Address - Country:US
Mailing Address - Phone:361-852-2211
Mailing Address - Fax:361-852-2633
Practice Address - Street 1:5443 EVERHART RD
Practice Address - Street 2:STE C
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-4888
Practice Address - Country:US
Practice Address - Phone:361-852-2211
Practice Address - Fax:361-852-2633
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-05
Last Update Date:2020-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7282111N00000X
332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Multi-Specialty