Provider Demographics
NPI:1194454223
Name:CHRIS MCGARRAHAN DC LLC
Entity Type:Organization
Organization Name:CHRIS MCGARRAHAN DC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:MARK
Authorized Official - Last Name:MCGARRAHAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:903-561-0372
Mailing Address - Street 1:3816 SOUTHPARK DR
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75703-1713
Mailing Address - Country:US
Mailing Address - Phone:903-561-0372
Mailing Address - Fax:
Practice Address - Street 1:3816 SOUTHPARK DR
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75703-1713
Practice Address - Country:US
Practice Address - Phone:903-561-0372
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-06
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty