Provider Demographics
NPI:1750640181
Name:TREMON LLC
Entity Type:Organization
Organization Name:TREMON LLC
Other - Org Name:SOUTH TEXAS CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:H
Authorized Official - Last Name:MORRISON
Authorized Official - Suffix:JR
Authorized Official - Credentials:D C
Authorized Official - Phone:956-928-0112
Mailing Address - Street 1:621 S TEXAS BLVD
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-6221
Mailing Address - Country:US
Mailing Address - Phone:956-647-5054
Mailing Address - Fax:956-647-5843
Practice Address - Street 1:3203 W ALBERTA RD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-9635
Practice Address - Country:US
Practice Address - Phone:956-928-0112
Practice Address - Fax:956-928-1220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-04
Last Update Date:2013-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6577111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001889701Medicaid
TX8H9255OtherBLUECROSS/BLUESHIELD
TX8H9255OtherBLUECROSS/BLUESHIELD
TX605348Medicare PIN