Provider Demographics
NPI:1477656007
Name:MASTERS CHIROPRACTIC, P.C.
Entity Type:Organization
Organization Name:MASTERS CHIROPRACTIC, P.C.
Other - Org Name:CHIROPRACTIC WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TAMI
Authorized Official - Middle Name:
Authorized Official - Last Name:MASTERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:254-559-3880
Mailing Address - Street 1:961 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:EASTLAND
Mailing Address - State:TX
Mailing Address - Zip Code:76448-3014
Mailing Address - Country:US
Mailing Address - Phone:254-629-1771
Mailing Address - Fax:254-559-3883
Practice Address - Street 1:961 E MAIN ST
Practice Address - Street 2:
Practice Address - City:EASTLAND
Practice Address - State:TX
Practice Address - Zip Code:76448-3014
Practice Address - Country:US
Practice Address - Phone:254-629-1771
Practice Address - Fax:254-559-3883
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7031111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty