Provider Demographics
NPI:1295236065
Name:HARLINGEN CHIROPRACTIC ACCIDENT & INJURY CLINIC
Entity type:Organization
Organization Name:HARLINGEN CHIROPRACTIC ACCIDENT & INJURY CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:HENN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:956-266-1928
Mailing Address - Street 1:1610 E TYLER AVE STE E
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-7482
Mailing Address - Country:US
Mailing Address - Phone:956-266-1928
Mailing Address - Fax:
Practice Address - Street 1:1610 E TYLER AVE STE E
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-7482
Practice Address - Country:US
Practice Address - Phone:956-266-1928
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-26
Last Update Date:2018-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty