Provider Demographics
NPI:1265487573
Name:HAIR, NATALIE A (DC)
Entity Type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:A
Last Name:HAIR
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:969 COUNTY ROAD 203
Mailing Address - Street 2:
Mailing Address - City:COLLINSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76233-2179
Mailing Address - Country:US
Mailing Address - Phone:903-327-9499
Mailing Address - Fax:833-561-2545
Practice Address - Street 1:304 CHARLIE DR
Practice Address - Street 2:
Practice Address - City:WHITESBORO
Practice Address - State:TX
Practice Address - Zip Code:76273-1103
Practice Address - Country:US
Practice Address - Phone:903-951-5555
Practice Address - Fax:833-561-2545
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-24
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12360111N00000X
PADC009315111N00000X
OK4272111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK620OtherCHIROPRACTIC INJECTABLE NUTRITION CERTIFICATION
TX3413551-01Medicaid
PA086580PQUMedicare ID - Type Unspecified