Provider Demographics
NPI:1295394625
Name:NH CHIROPRACTIC PAIN MANAGEMENT AND REHABILITATION
Entity Type:Organization
Organization Name:NH CHIROPRACTIC PAIN MANAGEMENT AND REHABILITATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VINH
Authorized Official - Middle Name:P
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:832-452-5469
Mailing Address - Street 1:1003 LEGACY RANCH RD
Mailing Address - Street 2:SUITE 206
Mailing Address - City:WAXAHACHIE
Mailing Address - State:TX
Mailing Address - Zip Code:75165-1294
Mailing Address - Country:US
Mailing Address - Phone:972-543-3876
Mailing Address - Fax:844-270-0782
Practice Address - Street 1:1003 LEGACY RANCH RD
Practice Address - Street 2:SUITE 206
Practice Address - City:WAXAHACHIE
Practice Address - State:TX
Practice Address - Zip Code:75165-1294
Practice Address - Country:US
Practice Address - Phone:972-543-3876
Practice Address - Fax:844-270-0782
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-10
Last Update Date:2019-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No111NI0013XChiropractic ProvidersChiropractorIndependent Medical ExaminerGroup - Multi-Specialty
No111NN0400XChiropractic ProvidersChiropractorNeurologyGroup - Multi-Specialty
No111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Multi-Specialty
No111NX0800XChiropractic ProvidersChiropractorOrthopedicGroup - Multi-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Multi-Specialty