Provider Demographics
NPI:1952596983
Name:SHERI SIMONDS EARLEY DC PLLC
Entity Type:Organization
Organization Name:SHERI SIMONDS EARLEY DC PLLC
Other - Org Name:HUEBNER CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHERI
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:SIMONDS EARLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:210-697-9700
Mailing Address - Street 1:9910 HUEBNER RD
Mailing Address - Street 2:STE 150
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-1342
Mailing Address - Country:US
Mailing Address - Phone:210-697-9700
Mailing Address - Fax:210-697-9701
Practice Address - Street 1:9910 HUEBNER RD
Practice Address - Street 2:STE 150
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-1342
Practice Address - Country:US
Practice Address - Phone:210-697-9700
Practice Address - Fax:210-697-9701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-12
Last Update Date:2012-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9207111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXU96392Medicare UPIN
TX00666VMedicare PIN