Provider Demographics
NPI:1417338120
Name:HUERTA FINE CHIROPRACTIC
Entity Type:Organization
Organization Name:HUERTA FINE CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEJANDRO
Authorized Official - Middle Name:
Authorized Official - Last Name:HUERTA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:915-599-8695
Mailing Address - Street 1:10622 MONTWOOD DR
Mailing Address - Street 2:SUITE D
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79935-2760
Mailing Address - Country:US
Mailing Address - Phone:915-599-8695
Mailing Address - Fax:915-599-8672
Practice Address - Street 1:10622 MONTWOOD DR
Practice Address - Street 2:SUITE D
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79935-2760
Practice Address - Country:US
Practice Address - Phone:915-599-8695
Practice Address - Fax:915-599-8672
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-18
Last Update Date:2015-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12814111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty