Provider Demographics
NPI:1437338837
Name:TIMOTHY S. HARRINGTON
Entity Type:Organization
Organization Name:TIMOTHY S. HARRINGTON
Other - Org Name:BARTON CREEK CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DR OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:S
Authorized Official - Last Name:HARRINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:512-892-4445
Mailing Address - Street 1:4601 SOUTHWEST PARKWAY
Mailing Address - Street 2:STE 101
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78735
Mailing Address - Country:US
Mailing Address - Phone:512-892-4445
Mailing Address - Fax:512-892-4445
Practice Address - Street 1:4601 SOUTHWEST PARKWAY
Practice Address - Street 2:STE 101
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78735
Practice Address - Country:US
Practice Address - Phone:512-892-4445
Practice Address - Fax:512-892-4449
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-01
Last Update Date:2009-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10291111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX608255OtherBCBS