Provider Demographics
NPI:1487823647
Name:BEHRMAN CHIROPRACTIC OF EULESS PA
Entity Type:Organization
Organization Name:BEHRMAN CHIROPRACTIC OF EULESS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BILLY
Authorized Official - Middle Name:MARK
Authorized Official - Last Name:HAMMONDS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:817-540-3202
Mailing Address - Street 1:501 N MAIN ST
Mailing Address - Street 2:139
Mailing Address - City:EULESS
Mailing Address - State:TX
Mailing Address - Zip Code:76039-3649
Mailing Address - Country:US
Mailing Address - Phone:817-540-3202
Mailing Address - Fax:817-545-9429
Practice Address - Street 1:501 N MAIN ST
Practice Address - Street 2:139
Practice Address - City:EULESS
Practice Address - State:TX
Practice Address - Zip Code:76039-3649
Practice Address - Country:US
Practice Address - Phone:817-540-3202
Practice Address - Fax:817-545-9429
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-21
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4901111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN0400XChiropractic ProvidersChiropractorNeurologyGroup - Single Specialty