Provider Demographics
NPI:1811192511
Name:HORTON CHIROPRACTIC CLINIC, P.A.
Entity Type:Organization
Organization Name:HORTON CHIROPRACTIC CLINIC, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:G
Authorized Official - Last Name:HORTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:817-741-6500
Mailing Address - Street 1:4140 HERITAGE TRACE PKWY STE 300
Mailing Address - Street 2:
Mailing Address - City:KELLER
Mailing Address - State:TX
Mailing Address - Zip Code:76248-1311
Mailing Address - Country:US
Mailing Address - Phone:817-232-8106
Mailing Address - Fax:
Practice Address - Street 1:4140 HERITAGE TRACE PKWY STE 300
Practice Address - Street 2:
Practice Address - City:KELLER
Practice Address - State:TX
Practice Address - Zip Code:76248-1311
Practice Address - Country:US
Practice Address - Phone:817-232-8106
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8897111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty