Provider Demographics
NPI:1659599306
Name:RICK L. ANTHONY
Entity Type:Organization
Organization Name:RICK L. ANTHONY
Other - Org Name:ANTHONY CHIROPRACTIC CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER & MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICK
Authorized Official - Middle Name:L
Authorized Official - Last Name:ANTHONY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:254-778-6474
Mailing Address - Street 1:1602 W AVENUE A
Mailing Address - Street 2:STE# 100
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76504-4080
Mailing Address - Country:US
Mailing Address - Phone:254-778-6474
Mailing Address - Fax:254-778-6491
Practice Address - Street 1:1602 W AVENUE A
Practice Address - Street 2:STE# 100
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76504-4080
Practice Address - Country:US
Practice Address - Phone:254-778-6474
Practice Address - Fax:254-778-6491
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-20
Last Update Date:2008-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0078NZOtherBCBS
TX0078NZOtherBCBS