Provider Demographics
NPI:1659554780
Name:NANCY HINDERS DC PA
Entity Type:Organization
Organization Name:NANCY HINDERS DC PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:HINDERS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:806-655-2373
Mailing Address - Street 1:2306 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:CANYON
Mailing Address - State:TX
Mailing Address - Zip Code:79015-4742
Mailing Address - Country:US
Mailing Address - Phone:806-655-2373
Mailing Address - Fax:806-655-5611
Practice Address - Street 1:2306 7TH AVE
Practice Address - Street 2:
Practice Address - City:CANYON
Practice Address - State:TX
Practice Address - Zip Code:79015-4742
Practice Address - Country:US
Practice Address - Phone:806-655-2373
Practice Address - Fax:806-655-5611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-12
Last Update Date:2008-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5090111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
109570OtherSUPERIOR HEALTH
TX5867119OtherAETNA
TX603029OtherBCBS
P00181167OtherPALMETTO GBA RAILROAD
TX00127YMedicare PIN