Provider Demographics
NPI:1720408057
Name:ASPIRE CHIROPRACTIC PLLC
Entity Type:Organization
Organization Name:ASPIRE CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:NORMAN
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:817-770-4773
Mailing Address - Street 1:124 W HARWOOD RD
Mailing Address - Street 2:STE B
Mailing Address - City:HURST
Mailing Address - State:TX
Mailing Address - Zip Code:76054-7013
Mailing Address - Country:US
Mailing Address - Phone:817-770-4773
Mailing Address - Fax:817-770-4795
Practice Address - Street 1:124 W HARWOOD RD
Practice Address - Street 2:STE B
Practice Address - City:HURST
Practice Address - State:TX
Practice Address - Zip Code:76054-7013
Practice Address - Country:US
Practice Address - Phone:817-770-4773
Practice Address - Fax:817-770-4795
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-25
Last Update Date:2016-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12512111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty