Provider Demographics
NPI:1669702437
Name:WORKERS COMP CENTER
Entity type:Organization
Organization Name:WORKERS COMP CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNWER
Authorized Official - Prefix:MR
Authorized Official - First Name:ERNESTO
Authorized Official - Middle Name:
Authorized Official - Last Name:URETA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-788-3092
Mailing Address - Street 1:522 HANCOCK AVE APT 315
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78404-2381
Mailing Address - Country:US
Mailing Address - Phone:210-788-3092
Mailing Address - Fax:210-648-9545
Practice Address - Street 1:522 HANCOCK APT 315
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78404-3272
Practice Address - Country:US
Practice Address - Phone:210-788-3092
Practice Address - Fax:210-648-9545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-30
Last Update Date:2010-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC10083111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty