Provider Demographics
NPI:1710456843
Name:CALLAWAY, HUSTON (DC)
Entity Type:Individual
Prefix:DR
First Name:HUSTON
Middle Name:
Last Name:CALLAWAY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2805 OLD FORT PKWY STE D
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37128-5116
Mailing Address - Country:US
Mailing Address - Phone:615-956-7004
Mailing Address - Fax:629-201-5976
Practice Address - Street 1:2618 GALLATIN PIKE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37216
Practice Address - Country:US
Practice Address - Phone:615-730-9430
Practice Address - Fax:615-826-5552
Is Sole Proprietor?:No
Enumeration Date:2018-11-19
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3163111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor