Provider Demographics
NPI:1376975078
Name:HEALTHCORE RESOURCES PLLC
Entity Type:Organization
Organization Name:HEALTHCORE RESOURCES PLLC
Other - Org Name:NATURAL HEALTH CHIROPRACTIC AND REHABILITATION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CASSIE
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:STINSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:409-656-1616
Mailing Address - Street 1:PO BOX 58642
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-8642
Mailing Address - Country:US
Mailing Address - Phone:409-656-1616
Mailing Address - Fax:
Practice Address - Street 1:560 BLOSSOM ST STE B
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4237
Practice Address - Country:US
Practice Address - Phone:409-656-1616
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-05
Last Update Date:2013-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11203111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty