Provider Demographics
NPI:1801130950
Name:HARLINGEN ACCIDENT & WELLNESS CENTER PLLC
Entity type:Organization
Organization Name:HARLINGEN ACCIDENT & WELLNESS CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHTUPAK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:956-230-2202
Mailing Address - Street 1:2302 S 77 SUNSHINESTRIP
Mailing Address - Street 2:STE 101A
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-8313
Mailing Address - Country:US
Mailing Address - Phone:956-230-2202
Mailing Address - Fax:956-230-2203
Practice Address - Street 1:2302 S 77 SUNSHINESTRIP
Practice Address - Street 2:STE 101A
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-8313
Practice Address - Country:US
Practice Address - Phone:956-230-2202
Practice Address - Fax:956-230-2203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-15
Last Update Date:2012-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10433111NX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NX0100XChiropractic ProvidersChiropractorOccupational HealthGroup - Single Specialty