Provider Demographics
NPI:1356510986
Name:HAMMES CHIROPRACTIC P C
Entity Type:Organization
Organization Name:HAMMES CHIROPRACTIC P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:B
Authorized Official - Last Name:HAMMES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:972-490-0848
Mailing Address - Street 1:15280 ADDISON RD
Mailing Address - Street 2:SUITE 325
Mailing Address - City:ADDISON
Mailing Address - State:TX
Mailing Address - Zip Code:75001-4506
Mailing Address - Country:US
Mailing Address - Phone:972-490-0848
Mailing Address - Fax:
Practice Address - Street 1:15280 ADDISON RD
Practice Address - Street 2:SUITE 325
Practice Address - City:ADDISON
Practice Address - State:TX
Practice Address - Zip Code:75001-4506
Practice Address - Country:US
Practice Address - Phone:972-490-0848
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-28
Last Update Date:2012-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00162TMedicare PIN