Provider Demographics
NPI:1265745970
Name:ANTHONY CHIROPRACTIC AND MASSAGE, PLLC
Entity type:Organization
Organization Name:ANTHONY CHIROPRACTIC AND MASSAGE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:360-460-4069
Mailing Address - Street 1:1602 W AVE A
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76504-4080
Mailing Address - Country:US
Mailing Address - Phone:254-899-2225
Mailing Address - Fax:254-778-6491
Practice Address - Street 1:1602 W AVE A
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76504-4080
Practice Address - Country:US
Practice Address - Phone:254-778-6474
Practice Address - Fax:254-778-6491
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-22
Last Update Date:2013-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11479111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty