Provider Demographics
NPI:1700144250
Name:HOWARD CHIROPRACTIC CENTER
Entity Type:Organization
Organization Name:HOWARD CHIROPRACTIC CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:B
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:903-657-9576
Mailing Address - Street 1:1310 JACKSONVILLE DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:TX
Mailing Address - Zip Code:75654-4000
Mailing Address - Country:US
Mailing Address - Phone:903-657-9576
Mailing Address - Fax:
Practice Address - Street 1:1310 JACKSONVILLE DR
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:TX
Practice Address - Zip Code:75654-4000
Practice Address - Country:US
Practice Address - Phone:903-657-9576
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-02
Last Update Date:2012-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX600975Medicare PIN
TXT13927Medicare UPIN