Provider Demographics
NPI:1649976044
Name:ADKINS, TODD MATTHEW (DC)
Entity type:Individual
Prefix:
First Name:TODD
Middle Name:MATTHEW
Last Name:ADKINS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11316 EAGLE DR
Mailing Address - Street 2:
Mailing Address - City:MONT BELVIEU
Mailing Address - State:TX
Mailing Address - Zip Code:77523-7609
Mailing Address - Country:US
Mailing Address - Phone:409-692-0582
Mailing Address - Fax:
Practice Address - Street 1:11316 EAGLE DR
Practice Address - Street 2:
Practice Address - City:MONT BELVIEU
Practice Address - State:TX
Practice Address - Zip Code:77523-7609
Practice Address - Country:US
Practice Address - Phone:409-692-0582
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-07
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15187111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor