Provider Demographics
NPI:1780819219
Name:GARLETT CHIROPRACTIC SERVICES, PLLC
Entity Type:Organization
Organization Name:GARLETT CHIROPRACTIC SERVICES, PLLC
Other - Org Name:GARLETT CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:DALE
Authorized Official - Last Name:GARLETT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:682-593-7659
Mailing Address - Street 1:226 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:KELLER
Mailing Address - State:TX
Mailing Address - Zip Code:76248-4433
Mailing Address - Country:US
Mailing Address - Phone:682-593-7659
Mailing Address - Fax:682-593-7651
Practice Address - Street 1:226 N MAIN ST
Practice Address - Street 2:
Practice Address - City:KELLER
Practice Address - State:TX
Practice Address - Zip Code:76248
Practice Address - Country:US
Practice Address - Phone:682-593-7659
Practice Address - Fax:682-593-7651
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-28
Last Update Date:2018-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9311111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty