Provider Demographics
NPI:1952670390
Name:FLYNN CHIROPRACTIC PC
Entity Type:Organization
Organization Name:FLYNN CHIROPRACTIC PC
Other - Org Name:EAST TEXAS DOCTORS OF CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:C
Authorized Official - Last Name:FLYNN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:903-617-6106
Mailing Address - Street 1:6573 OLD JACKSONVILLE HWY SUITE 100
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75703-0575
Mailing Address - Country:US
Mailing Address - Phone:903-617-6106
Mailing Address - Fax:903-617-6857
Practice Address - Street 1:6573 OLD JACKSONVILLE HWY SUITE 100
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75703-0575
Practice Address - Country:US
Practice Address - Phone:903-617-6106
Practice Address - Fax:903-617-6857
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-14
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10444111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty