EAST TEXAS CLINIC OF CHIROPRACTIC, LLC (NPI# 1316593551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316593551 |
| Entity Type | Organization |
| Organization Name | EAST TEXAS CLINIC OF CHIROPRACTIC, LLC |
| Other Organization Name | CAMP COUNTY CLINIC OF CHIROPRACTIC & REHAB |
| Practice Address |
210 Lafayette St Pittsburg TX 75686-1630 |
| Mailing Address |
140 County Road 4425 Mt Pleasant TX 75455-8686 |
| Practice Telephone | 9035639501 |
| Mailing Telephone | 9035639501 |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2019-10-21 |
| Authorized Official Name | GARTH JOHNSON (OWNER) |
| Authorized Official Telephone | 9035639501 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Camp County Clinic of Chiropractic & Rehab | Doing Business As Name - Organization |
| Street Address |
210 LAFAYETTE ST |
| City | PITTSBURG |
| State | TX |
| Zip Code | 75686-1630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568575421 | Evan R Willian | Chiropractor | 210 Lafayette St, Pittsburg, TX 75686-1630 | 2006-08-16 |
| 1780238766 | Garth Johnson | Chiropractor | 210 Lafayette St, Pittsburg, TX 75686-1630 | 2019-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245866508 | Stayce Wade Phillips | Physical Therapy Assistant | 2801 Hwy 271 N., Pittsburg, TX 75686 | 2020-03-19 |
| 1891321279 | Sally Bagley Andrews | Physical Therapist | 2801 Us Hwy 271 N, Pittsburg, TX 75686 | 2020-03-18 |
| 1669968889 | Camp County Dental Pllc | Dentist | 113 M L King Jr Ave, Pittsburg, TX 75686 | 2018-07-11 |
| 1326174426 | Camp County Ambulance Service | Ambulance | 122 E Church St, Pittsburg, TX 75686 | 2007-02-26 |
| 1134237290 | Terence Aloysius Cook | Dentist | 113 North Avenue, Pittsburg, TX 75686 | 2006-08-29 |
| 1689639098 | Larry J Richardson | Dentist | 108 Mt Pleasant, Pittsburg, TX 75686 | 2006-04-19 |
| 1477180636 | Guy Deluna | Physical Therapist | 2801 Us Hwy 271 N, Pittsburg, TX 75686 | 2020-03-26 |
| 1992802201 | Virginia R. Thurman | Counselor | 424 Henderson St., Pittsburg, TX 75686-0596 | 2006-09-20 |
| 1467937557 | Jessica Rubit Garcia | Licensed Vocational Nurse | 311 Fairview St, Pittsburg, TX 75686-1013 | 2018-09-25 |
| 1124050125 | Stephen R Creme' | Emergency Medicine | 414 Quitman St, Pittsburg, TX 75686-1032 | 2006-07-07 |
| Find all providers in zip 75686 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730648411 | Monte Broussard | Chiropractor | 2707 N Broadway St Ste A, Pittsburg, KS 66762-2624 | 2019-03-13 |
| 1316317456 | Riggs Chiropractic LLC | Chiropractor | 1117 W 4th St, Pittsburg, KS 66762-4647 | 2015-10-01 |
| 1558731695 | Tyler Riggs | Chiropractor | 2707n Broadway St A, Pittsburg, KS 66762-2624 | 2015-10-01 |
| 1841687936 | Armando Solis | Chiropractor | 248 Atlantic Ave, Pittsburg, CA 94565-5222 | 2015-04-16 |
| 1720492929 | Jeanne Cox | Chiropractor | 1732 Peachwillow St, Pittsburg, CA 94565-7302 | 2014-06-16 |
| 1932456811 | Jesse R Kalkstein | Chiropractor | 2090 Greentree Road Suite 100, Pittsburg, PA 15220-1403 | 2012-08-09 |
| 1548592090 | Ellis Chiropractic Office | Chiropractor | 613 N Broadway St, Suite E, Pittsburg, KS 66762-3957 | 2010-02-09 |
| 1841352317 | Jeffrey Edwin Burns | Chiropractor | 109 Jefferson St, Pittsburg, TX 75686-1304 | 2006-12-14 |
| 1801961479 | Crawford County Chiropractic, LLC | Chiropractor | 126 E 3rd St, Pittsburg, KS 66762-4808 | 2006-11-21 |
| 1790850287 | William Mathew Bennetts | Chiropractor | 206 1/2 S Broadway St, Pittsburg, KS 66762-5204 | 2006-11-21 |
| Find all providers in PITTSBURG | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.