Provider Demographics
NPI:1629264445
Name:TEXAS CLINICS PARTNERSHIP L.L.P.
Entity Type:Organization
Organization Name:TEXAS CLINICS PARTNERSHIP L.L.P.
Other - Org Name:69TH STREET CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:HEUSER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-794-4009
Mailing Address - Street 1:5152 69TH ST
Mailing Address - Street 2:SUITE 101, BOX 2
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79424-1674
Mailing Address - Country:US
Mailing Address - Phone:806-794-4009
Mailing Address - Fax:806-794-1091
Practice Address - Street 1:5152 69TH ST STE 101
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-1661
Practice Address - Country:US
Practice Address - Phone:806-794-4009
Practice Address - Fax:806-794-1091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-16
Last Update Date:2016-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4057111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty