Provider Demographics
NPI:1932487667
Name:HARDIN, CLINT EMMETT (DC)
Entity Type:Individual
Prefix:DR
First Name:CLINT
Middle Name:EMMETT
Last Name:HARDIN
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 1:1101 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LINDALE
Mailing Address - State:TX
Mailing Address - Zip Code:75771-6266
Mailing Address - Country:US
Mailing Address - Phone:903-883-6488
Mailing Address - Fax:903-883-6488
Practice Address - Street 1:1101 S MAIN ST
Practice Address - Street 2:
Practice Address - City:LINDALE
Practice Address - State:TX
Practice Address - Zip Code:75771-6266
Practice Address - Country:US
Practice Address - Phone:903-883-6488
Practice Address - Fax:903-883-6488
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-29
Last Update Date:2021-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11819111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor