Provider Demographics
NPI:1235875386
Name:PINKERTON, AUTUM HALEY (DC, MS)
Entity Type:Individual
Prefix:DR
First Name:AUTUM
Middle Name:HALEY
Last Name:PINKERTON
Suffix:
Gender:F
Credentials:DC, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2708 COUNTY ROAD 401
Mailing Address - Street 2:
Mailing Address - City:ALVARADO
Mailing Address - State:TX
Mailing Address - Zip Code:76009-7424
Mailing Address - Country:US
Mailing Address - Phone:325-214-0473
Mailing Address - Fax:
Practice Address - Street 1:100 COUNTRY VIEW DR STE 300
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:TX
Practice Address - Zip Code:76262-2039
Practice Address - Country:US
Practice Address - Phone:682-237-2322
Practice Address - Fax:833-518-3409
Is Sole Proprietor?:No
Enumeration Date:2022-05-11
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15145111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor