Provider Demographics
NPI:1457738346
Name:CITY POINT CHIROPRACTIC, LLC
Entity Type:Organization
Organization Name:CITY POINT CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:P
Authorized Official - Last Name:PAELTZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:817-259-1300
Mailing Address - Street 1:7500 BOULEVARD 26
Mailing Address - Street 2:
Mailing Address - City:NORTH RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76180-8318
Mailing Address - Country:US
Mailing Address - Phone:817-259-1300
Mailing Address - Fax:817-288-0544
Practice Address - Street 1:7500 BOULEVARD 26
Practice Address - Street 2:
Practice Address - City:NORTH RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76180-8318
Practice Address - Country:US
Practice Address - Phone:817-259-1300
Practice Address - Fax:817-288-0544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-30
Last Update Date:2018-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12413111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty