Provider Demographics
NPI:1912425083
Name:FIELDS FAMILY CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:FIELDS FAMILY CHIROPRACTIC LLC
Other - Org Name:BIOFINITY CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:LEVI
Authorized Official - Last Name:FIELDS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:830-850-0077
Mailing Address - Street 1:138 OLD SAN ANTONIO RD STE 101
Mailing Address - Street 2:
Mailing Address - City:BOERNE
Mailing Address - State:TX
Mailing Address - Zip Code:78006-3413
Mailing Address - Country:US
Mailing Address - Phone:830-850-0077
Mailing Address - Fax:830-850-0078
Practice Address - Street 1:138 OLD SAN ANTONIO RD STE 101
Practice Address - Street 2:
Practice Address - City:BOERNE
Practice Address - State:TX
Practice Address - Zip Code:78006-3413
Practice Address - Country:US
Practice Address - Phone:830-850-0077
Practice Address - Fax:830-850-0078
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13436111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty