Provider Demographics
NPI:1922338904
Name:PMJM, INC.
Entity Type:Organization
Organization Name:PMJM, INC.
Other - Org Name:PARADIGM CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY/TREASURER
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:MCCUAIG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:806-785-2700
Mailing Address - Street 1:4412 74TH ST
Mailing Address - Street 2:SUITE D-100
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79424-2328
Mailing Address - Country:US
Mailing Address - Phone:806-785-2700
Mailing Address - Fax:806-785-2706
Practice Address - Street 1:4412 74TH ST
Practice Address - Street 2:SUITE D-100
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-2328
Practice Address - Country:US
Practice Address - Phone:806-785-2700
Practice Address - Fax:806-785-2706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-13
Last Update Date:2010-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF008457111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty