Provider Demographics
NPI:1881245744
Name:DEL RIO CHIROPRACTIC PLLC
Entity type:Organization
Organization Name:DEL RIO CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:GRANT
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:713-899-7350
Mailing Address - Street 1:1909 VETERANS BLVD UNIT B
Mailing Address - Street 2:
Mailing Address - City:DEL RIO
Mailing Address - State:TX
Mailing Address - Zip Code:78840-3326
Mailing Address - Country:US
Mailing Address - Phone:830-320-8023
Mailing Address - Fax:
Practice Address - Street 1:1909 VETERANS BLVD UNIT B
Practice Address - Street 2:
Practice Address - City:DEL RIO
Practice Address - State:TX
Practice Address - Zip Code:78840-3326
Practice Address - Country:US
Practice Address - Phone:830-320-8023
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-23
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty