Provider Demographics
NPI:1841313509
Name:NATURAL CARE CHIROPRACTIC AND ACUPUNCTURE
Entity type:Organization
Organization Name:NATURAL CARE CHIROPRACTIC AND ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:RAYMOND
Authorized Official - Last Name:BLUM
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:469-387-1317
Mailing Address - Street 1:1475 RICHARDSON DR
Mailing Address - Street 2:STE. 202
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-4659
Mailing Address - Country:US
Mailing Address - Phone:972-309-2041
Mailing Address - Fax:972-231-6392
Practice Address - Street 1:1475 RICHARDSON DR
Practice Address - Street 2:STE. 202
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-4659
Practice Address - Country:US
Practice Address - Phone:972-309-2041
Practice Address - Fax:972-231-6392
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-09
Last Update Date:2014-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6068305R00000X, 305S00000X
171100000X
TX09098111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No305R00000XManaged Care OrganizationsPreferred Provider OrganizationGroup - Multi-Specialty
No305S00000XManaged Care OrganizationsPoint of ServiceGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0039PUOtherBCBS GROUP
TX0039PUOtherBCBS GROUP
TXV02934Medicare UPIN