Provider Demographics
NPI:1790946572
Name:ONEIDA CHIROPRACTIC, P.A.
Entity Type:Organization
Organization Name:ONEIDA CHIROPRACTIC, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:CARL
Authorized Official - Last Name:BOWMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:806-467-2000
Mailing Address - Street 1:4515 S GEORGIA ST STE 128
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79110-1712
Mailing Address - Country:US
Mailing Address - Phone:806-467-2000
Mailing Address - Fax:806-467-2001
Practice Address - Street 1:4515 S GEORGIA ST STE 128
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79110-1712
Practice Address - Country:US
Practice Address - Phone:806-467-2000
Practice Address - Fax:806-467-2001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-24
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10382111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty