Provider Demographics
NPI:1316216203
Name:TIMOTHY J MCKINLEY & CO P C
Entity Type:Organization
Organization Name:TIMOTHY J MCKINLEY & CO P C
Other - Org Name:PINEVIEW CHIROPRACTIC CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TIM
Authorized Official - Middle Name:J
Authorized Official - Last Name:MCKINLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:713-921-1784
Mailing Address - Street 1:2000 RAINBOW DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77023-4110
Mailing Address - Country:US
Mailing Address - Phone:713-921-1784
Mailing Address - Fax:713-921-9124
Practice Address - Street 1:2000 RAINBOW DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77023-4110
Practice Address - Country:US
Practice Address - Phone:713-921-1784
Practice Address - Fax:713-921-9124
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-21
Last Update Date:2011-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4979111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXT79047Medicare UPIN