Provider Demographics
NPI:1891099503
Name:IN-LINE CHIROPRACTIC PLLC
Entity Type:Organization
Organization Name:IN-LINE CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:281-894-5020
Mailing Address - Street 1:12344 BARKER CYPRESS RD
Mailing Address - Street 2:STE. 130
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-8359
Mailing Address - Country:US
Mailing Address - Phone:281-894-5020
Mailing Address - Fax:281-256-9706
Practice Address - Street 1:12344 BARKER CYPRESS RD
Practice Address - Street 2:STE. 130
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-8359
Practice Address - Country:US
Practice Address - Phone:281-894-5020
Practice Address - Fax:281-256-9706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-10
Last Update Date:2011-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty