Provider Demographics
NPI:1831104504
Name:HALSELL, NATHAN G (DC)
Entity Type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:G
Last Name:HALSELL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3108 31ST ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79410-3112
Mailing Address - Country:US
Mailing Address - Phone:806-777-5182
Mailing Address - Fax:806-792-9885
Practice Address - Street 1:3225 50TH ST
Practice Address - Street 2:A-3
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79413-4118
Practice Address - Country:US
Practice Address - Phone:806-792-4487
Practice Address - Fax:806-792-9885
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-30
Last Update Date:2007-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM1584111N00000X
TX10656111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor