Provider Demographics
NPI:1821175670
Name:BATTERTON, PAULA LYNN (DC)
Entity Type:Individual
Prefix:DR
First Name:PAULA
Middle Name:LYNN
Last Name:BATTERTON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:621 W 19TH ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-3613
Mailing Address - Country:US
Mailing Address - Phone:713-861-9168
Mailing Address - Fax:713-861-9069
Practice Address - Street 1:621 W 19TH ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-3613
Practice Address - Country:US
Practice Address - Phone:713-861-9168
Practice Address - Fax:713-861-9069
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2014-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6635111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00197TMedicare ID - Type Unspecified
TX8419B0Medicare ID - Type UnspecifiedINDIVIDUAL #
TXU57253Medicare UPIN