Provider Demographics
NPI:1184892929
Name:CHIROFIX CHIROPRACTIC PLLC
Entity type:Organization
Organization Name:CHIROFIX CHIROPRACTIC PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:SHANE
Authorized Official - Last Name:WINFREY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:940-497-7246
Mailing Address - Street 1:3630 FM 2181 STE 120
Mailing Address - Street 2:
Mailing Address - City:HICKORY CREEK
Mailing Address - State:TX
Mailing Address - Zip Code:75065-7644
Mailing Address - Country:US
Mailing Address - Phone:940-497-7246
Mailing Address - Fax:940-497-7246
Practice Address - Street 1:3630 FM 2181 STE 120
Practice Address - Street 2:
Practice Address - City:HICKORY CREEK
Practice Address - State:TX
Practice Address - Zip Code:75065-7644
Practice Address - Country:US
Practice Address - Phone:940-497-7246
Practice Address - Fax:940-497-7246
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-14
Last Update Date:2011-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10112111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty