Provider Demographics
NPI:1669173712
Name:INNATE'S TOUCH CHIROPRACTIC
Entity type:Organization
Organization Name:INNATE'S TOUCH CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:MAURICE
Authorized Official - Middle Name:
Authorized Official - Last Name:ISUO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:682-400-8577
Mailing Address - Street 1:2384 U.S. 287 FRONTAGE RD
Mailing Address - Street 2:STE 216
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063
Mailing Address - Country:US
Mailing Address - Phone:682-400-8577
Mailing Address - Fax:
Practice Address - Street 1:2384 U.S. 287 FRONTAGE RD
Practice Address - Street 2:STE 216
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063
Practice Address - Country:US
Practice Address - Phone:682-400-8577
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-15
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty