Provider Demographics
NPI:1568625929
Name:HARRILL CALHOUN CHIROPRACTIC CENTRE PC
Entity Type:Organization
Organization Name:HARRILL CALHOUN CHIROPRACTIC CENTRE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:W
Authorized Official - Last Name:CALHOUN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:512-258-6317
Mailing Address - Street 1:7208 MCNEIL
Mailing Address - Street 2:SUITE 201
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78729-7653
Mailing Address - Country:US
Mailing Address - Phone:512-258-6317
Mailing Address - Fax:512-258-4025
Practice Address - Street 1:7208 MCNEIL DR
Practice Address - Street 2:SUITE 201
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78729-7983
Practice Address - Country:US
Practice Address - Phone:512-258-6317
Practice Address - Fax:512-258-4025
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-07
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5536111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00J87XMedicare PIN