Provider Demographics
NPI:1346810132
Name:LEAL FAMILY CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:LEAL FAMILY CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SERGIO
Authorized Official - Middle Name:ELIAS
Authorized Official - Last Name:LEAL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:806-241-2134
Mailing Address - Street 1:1525 W AVENUE C
Mailing Address - Street 2:
Mailing Address - City:MULESHOE
Mailing Address - State:TX
Mailing Address - Zip Code:79347-3035
Mailing Address - Country:US
Mailing Address - Phone:806-241-2763
Mailing Address - Fax:
Practice Address - Street 1:1106 W AMERICAN BLVD
Practice Address - Street 2:
Practice Address - City:MULESHOE
Practice Address - State:TX
Practice Address - Zip Code:79347-3145
Practice Address - Country:US
Practice Address - Phone:806-272-4000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-25
Last Update Date:2021-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty