Provider Demographics
NPI:1609993237
Name:LAUBHAN CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:LAUBHAN CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:RICK
Authorized Official - Middle Name:L
Authorized Official - Last Name:LAUBHAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:806-352-8353
Mailing Address - Street 1:4312 TECKLA BLVD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79109-5413
Mailing Address - Country:US
Mailing Address - Phone:806-352-8353
Mailing Address - Fax:806-352-8802
Practice Address - Street 1:4312 TECKLA BLVD
Practice Address - Street 2:SUITE 300
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79109-5413
Practice Address - Country:US
Practice Address - Phone:806-352-8353
Practice Address - Fax:806-352-8802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4596111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4596OtherLICENSE
TX87150GOtherBCBS
TX1982768503OtherNPI
TX8114340OtherBLUE LINK
TX0085CKOtherBCBS GROUP
TX117448100OtherSWL&H
TX415007OtherFOCUS
TX186019OtherHMO BLUE
TX1982768503OtherNPI