Provider Demographics
NPI:1144622671
Name:ESTESS FAMILY CHIROPRACTIC, PLLC
Entity Type:Organization
Organization Name:ESTESS FAMILY CHIROPRACTIC, PLLC
Other - Org Name:COMMUNITY CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NEWELL
Authorized Official - Middle Name:SMITH
Authorized Official - Last Name:ESTESS
Authorized Official - Suffix:III
Authorized Official - Credentials:DC
Authorized Official - Phone:972-221-8700
Mailing Address - Street 1:403 W MAIN ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75057-3757
Mailing Address - Country:US
Mailing Address - Phone:972-221-8700
Mailing Address - Fax:972-221-5700
Practice Address - Street 1:403 W MAIN ST
Practice Address - Street 2:SUITE C
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75057-3757
Practice Address - Country:US
Practice Address - Phone:972-221-8700
Practice Address - Fax:972-221-5700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-16
Last Update Date:2014-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12270111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty