Provider Demographics
NPI:1235153966
Name:TEXAS FAMILY CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:TEXAS FAMILY CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:DERRICK
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:HOUGHTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:512-252-9444
Mailing Address - Street 1:16301 YELLOW SAGE ST
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-3520
Mailing Address - Country:US
Mailing Address - Phone:512-252-9444
Mailing Address - Fax:512-252-9341
Practice Address - Street 1:16301 YELLOW SAGE ST
Practice Address - Street 2:
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-3520
Practice Address - Country:US
Practice Address - Phone:512-252-9444
Practice Address - Fax:512-252-9341
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-26
Last Update Date:2011-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8508111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX88880YOtherBCBS PROVIDER ID
TXU79683Medicare UPIN
TX88880YOtherBCBS PROVIDER ID
TX00406XMedicare PIN