Provider Demographics
NPI:1740391705
Name:CAREY CHIROPRACTIC CENTER P.A.
Entity Type:Organization
Organization Name:CAREY CHIROPRACTIC CENTER P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:JARED
Authorized Official - Middle Name:EARL
Authorized Official - Last Name:CAREY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:806-785-2000
Mailing Address - Street 1:5805 64TH ST STE 3
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79424-2707
Mailing Address - Country:US
Mailing Address - Phone:806-785-2000
Mailing Address - Fax:806-785-2002
Practice Address - Street 1:5805 64TH ST STE 3
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-2707
Practice Address - Country:US
Practice Address - Phone:806-785-2000
Practice Address - Fax:806-785-2002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2007-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC9503111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXU96804Medicare UPIN
TX00745VMedicare PIN