Provider Demographics
NPI:1750788394
Name:TERRELL CHIROPRACTIC SPINE & INJURY CLINIC
Entity type:Organization
Organization Name:TERRELL CHIROPRACTIC SPINE & INJURY CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARSHA
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:972-563-7246
Mailing Address - Street 1:PO BOX 2149
Mailing Address - Street 2:
Mailing Address - City:TERRELL
Mailing Address - State:TX
Mailing Address - Zip Code:75160-0038
Mailing Address - Country:US
Mailing Address - Phone:972-563-7246
Mailing Address - Fax:
Practice Address - Street 1:606 W MOORE AVE
Practice Address - Street 2:
Practice Address - City:TERRELL
Practice Address - State:TX
Practice Address - Zip Code:75160-3124
Practice Address - Country:US
Practice Address - Phone:972-563-7246
Practice Address - Fax:972-563-0087
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-25
Last Update Date:2014-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5870261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center