Provider Demographics
NPI:1831392190
Name:A.C. CHIROPRACTIC, P.C.
Entity type:Organization
Organization Name:A.C. CHIROPRACTIC, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:COHEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC, CCSP
Authorized Official - Phone:817-284-2827
Mailing Address - Street 1:1149 PRECINCT LINE RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:HURST
Mailing Address - State:TX
Mailing Address - Zip Code:76053-4288
Mailing Address - Country:US
Mailing Address - Phone:817-284-2827
Mailing Address - Fax:
Practice Address - Street 1:1149 PRECINCT LINE RD
Practice Address - Street 2:SUITE C
Practice Address - City:HURST
Practice Address - State:TX
Practice Address - Zip Code:76053-4288
Practice Address - Country:US
Practice Address - Phone:817-284-2827
Practice Address - Fax:817-589-8548
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-06
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6533111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0003MNOtherBLUE CROSS BLUE SHIELD
TX0003MNOtherBLUE CROSS BLUE SHIELD