Provider Demographics
NPI:1952424681
Name:HELOTES CHIROPRACTIC CLINIC
Entity Type:Organization
Organization Name:HELOTES CHIROPRACTIC CLINIC
Other - Org Name:HELOTES CHIROPRACTIC CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:RIHN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:210-695-5557
Mailing Address - Street 1:13667 BANDERA RD
Mailing Address - Street 2:
Mailing Address - City:HELOTES
Mailing Address - State:TX
Mailing Address - Zip Code:78023-3930
Mailing Address - Country:US
Mailing Address - Phone:210-695-5557
Mailing Address - Fax:210-695-5553
Practice Address - Street 1:13667 BANDERA RD
Practice Address - Street 2:
Practice Address - City:HELOTES
Practice Address - State:TX
Practice Address - Zip Code:78023-3930
Practice Address - Country:US
Practice Address - Phone:210-695-5557
Practice Address - Fax:210-695-5553
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HELOTES CHIROPRACTIC CLINIC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-04-09
Last Update Date:2009-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5936111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0010DXOtherBCBS GROUP #
TX0A3465Medicare PIN
TXU33192Medicare UPIN