Provider Demographics
NPI:1194386540
Name:CROSS TIMBERS FAMILY CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:CROSS TIMBERS FAMILY CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:AMY
Authorized Official - Middle Name:K
Authorized Official - Last Name:AKIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:254-968-2726
Mailing Address - Street 1:1359 W SOUTH LOOP STE B
Mailing Address - Street 2:
Mailing Address - City:STEPHENVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76401-5172
Mailing Address - Country:US
Mailing Address - Phone:254-979-2050
Mailing Address - Fax:254-968-2156
Practice Address - Street 1:1359 W SOUTH LOOP STE B
Practice Address - Street 2:
Practice Address - City:STEPHENVILLE
Practice Address - State:TX
Practice Address - Zip Code:76401-5172
Practice Address - Country:US
Practice Address - Phone:254-979-2050
Practice Address - Fax:254-968-2156
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-26
Last Update Date:2019-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center