Provider Demographics
NPI:1942488192
Name:HELTON CHIROPRACTIC CENTER PA
Entity Type:Organization
Organization Name:HELTON CHIROPRACTIC CENTER PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GLENN
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:HELTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC, CCSP
Authorized Official - Phone:281-298-5053
Mailing Address - Street 1:9004 FOREST XING
Mailing Address - Street 2:STE. C
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77381-1197
Mailing Address - Country:US
Mailing Address - Phone:281-298-5053
Mailing Address - Fax:281-298-7867
Practice Address - Street 1:9004 FOREST XING
Practice Address - Street 2:STE. C
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77381-1197
Practice Address - Country:US
Practice Address - Phone:281-298-5053
Practice Address - Fax:281-298-7867
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-08
Last Update Date:2012-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8447111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
8027B0OtherBLUE CROSS BLUE SHIELD
8027B0OtherBLUE CROSS BLUE SHIELD