Provider Demographics
NPI:1851557169
Name:CHRISTOPHER RICHARD GRATTON, D.C., P.C.
Entity Type:Organization
Organization Name:CHRISTOPHER RICHARD GRATTON, D.C., P.C.
Other - Org Name:GRATTON CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:GRATTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC, PC
Authorized Official - Phone:903-399-4839
Mailing Address - Street 1:1100 STONE RD
Mailing Address - Street 2:SUITE 269
Mailing Address - City:KILGORE
Mailing Address - State:TX
Mailing Address - Zip Code:75662-5482
Mailing Address - Country:US
Mailing Address - Phone:903-218-5353
Mailing Address - Fax:903-984-5151
Practice Address - Street 1:1100 STONE RD
Practice Address - Street 2:SUITE 269
Practice Address - City:KILGORE
Practice Address - State:TX
Practice Address - Zip Code:75662-5482
Practice Address - Country:US
Practice Address - Phone:903-218-5353
Practice Address - Fax:903-984-5151
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-06
Last Update Date:2009-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10764111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty