Provider Demographics
NPI:1932540101
Name:NIRA CHIROPRACTIC, PLLC
Entity Type:Organization
Organization Name:NIRA CHIROPRACTIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:NIRA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:210-566-7873
Mailing Address - Street 1:750 SCHNEIDER
Mailing Address - Street 2:STE 170
Mailing Address - City:CIBOLO
Mailing Address - State:TX
Mailing Address - Zip Code:78108-3358
Mailing Address - Country:US
Mailing Address - Phone:210-566-7873
Mailing Address - Fax:210-566-8799
Practice Address - Street 1:750 SCHNEIDER
Practice Address - Street 2:STE 170
Practice Address - City:CIBOLO
Practice Address - State:TX
Practice Address - Zip Code:78108-3358
Practice Address - Country:US
Practice Address - Phone:210-566-7873
Practice Address - Fax:210-566-8799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-16
Last Update Date:2013-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12135111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty