Provider Demographics
NPI:1942699970
Name:DEL RIO'S CHIRO CONNECTION PLLC
Entity Type:Organization
Organization Name:DEL RIO'S CHIRO CONNECTION PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KATRINA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:FLORES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:830-469-2207
Mailing Address - Street 1:707 E 17TH ST
Mailing Address - Street 2:B-C
Mailing Address - City:DEL RIO
Mailing Address - State:TX
Mailing Address - Zip Code:78840-7863
Mailing Address - Country:US
Mailing Address - Phone:830-214-7879
Mailing Address - Fax:830-214-7879
Practice Address - Street 1:707 E 17TH ST
Practice Address - Street 2:C
Practice Address - City:DEL RIO
Practice Address - State:TX
Practice Address - Zip Code:78840-7863
Practice Address - Country:US
Practice Address - Phone:830-214-7879
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-14
Last Update Date:2017-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12785111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty