Provider Demographics
NPI:1841039146
Name:ALVIN CHIROS LLC
Entity type:Organization
Organization Name:ALVIN CHIROS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BILLY
Authorized Official - Middle Name:B
Authorized Official - Last Name:COBURN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:979-299-1898
Mailing Address - Street 1:115 CIRCLE WAY ST
Mailing Address - Street 2:
Mailing Address - City:LAKE JACKSON
Mailing Address - State:TX
Mailing Address - Zip Code:77566-5233
Mailing Address - Country:US
Mailing Address - Phone:979-299-1898
Mailing Address - Fax:979-299-3282
Practice Address - Street 1:173 TOVREA RD STE C
Practice Address - Street 2:
Practice Address - City:ALVIN
Practice Address - State:TX
Practice Address - Zip Code:77511-2962
Practice Address - Country:US
Practice Address - Phone:979-299-1898
Practice Address - Fax:979-299-3282
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-24
Last Update Date:2024-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty