Provider Demographics
NPI:1497927149
Name:HANDLEY CHIROPRACTIC CENTER, P.C.
Entity Type:Organization
Organization Name:HANDLEY CHIROPRACTIC CENTER, P.C.
Other - Org Name:DON H. HANDLEY, D.C.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DON
Authorized Official - Middle Name:H
Authorized Official - Last Name:HANDLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:210-656-5790
Mailing Address - Street 1:6005 RITTIMAN PLZ
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78218-5216
Mailing Address - Country:US
Mailing Address - Phone:210-656-5790
Mailing Address - Fax:210-656-5791
Practice Address - Street 1:6005 RITTIMAN PLZ
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78218-5216
Practice Address - Country:US
Practice Address - Phone:210-656-5790
Practice Address - Fax:210-656-5791
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-01
Last Update Date:2012-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2281111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedicGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB144744Medicare PIN