Provider Demographics
NPI:1306860259
Name:HARDIN, SHIRLEY JEAN (DC)
Entity Type:Individual
Prefix:DR
First Name:SHIRLEY
Middle Name:JEAN
Last Name:HARDIN
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 1:855 UVALDE RD
Mailing Address - Street 2:SUITE E
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77015-3745
Mailing Address - Country:US
Mailing Address - Phone:713-455-0323
Mailing Address - Fax:713-455-0474
Practice Address - Street 1:855 UVALDE RD
Practice Address - Street 2:SUITE E
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77015-3745
Practice Address - Country:US
Practice Address - Phone:713-455-0323
Practice Address - Fax:713-455-0474
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5082111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX603125Medicare ID - Type Unspecified