Provider Demographics
NPI:1942508593
Name:HASTINGS CHIROPRACTIC AND WELLNESS CENTER, INC.
Entity Type:Organization
Organization Name:HASTINGS CHIROPRACTIC AND WELLNESS CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:RANEY
Authorized Official - Last Name:HASTINGS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:830-755-9109
Mailing Address - Street 1:31007 INTERSTATE 10 W
Mailing Address - Street 2:SUITE 106
Mailing Address - City:BOERNE
Mailing Address - State:TX
Mailing Address - Zip Code:78006-9264
Mailing Address - Country:US
Mailing Address - Phone:830-755-9109
Mailing Address - Fax:830-755-9114
Practice Address - Street 1:31007 INTERSTATE 10 W
Practice Address - Street 2:SUITE 106
Practice Address - City:BOERNE
Practice Address - State:TX
Practice Address - Zip Code:78006-9264
Practice Address - Country:US
Practice Address - Phone:830-755-9109
Practice Address - Fax:830-755-9114
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-07
Last Update Date:2012-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10507111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty