Provider Demographics
NPI:1164636379
Name:KIMBERLIN CHIROPRACTIC PLLC D.B.A. TOTAL HEALTH CHIROPRACTIC
Entity Type:Organization
Organization Name:KIMBERLIN CHIROPRACTIC PLLC D.B.A. TOTAL HEALTH CHIROPRACTIC
Other - Org Name:TOTAL HEALTH CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:K
Authorized Official - Last Name:KIMBERLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-868-3808
Mailing Address - Street 1:3409 N FM 1417
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75092-6634
Mailing Address - Country:US
Mailing Address - Phone:903-868-3808
Mailing Address - Fax:903-868-1432
Practice Address - Street 1:3409 N FM 1417
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75092-6634
Practice Address - Country:US
Practice Address - Phone:903-868-3808
Practice Address - Fax:903-868-1432
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2009-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10402111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00Z056Medicare PIN