EAST TEXAS CHIROPRACTIC OF JASPER, PA (NPI# 1699893230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699893230 |
| Entity Type | Organization |
| Organization Name | EAST TEXAS CHIROPRACTIC OF JASPER, PA |
| Other Organization Name | MICHAEL T. FLECK DC PA |
| Practice Address |
799 W. Gibson Ste 700 Jasper TX 75948 |
| Practice Telephone | 4093847776 |
| Practice Fax Number | 4093847779 |
| Mailing Telephone | 4093847776 |
| Mailing Fax Number | 4093847779 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2012-08-28 |
| Authorized Official Name | DR. BRIC LEE LANGFORD (OWNER) |
| Authorized Official Telephone | 4093847776 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | DC6063 | TX | Chiropractic Providers |
| N | 111N00000X | Chiropractor | 11268 | TX | Chiropractic Providers |
| Y | 111N00000X | Chiropractor | 11267 | TX | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | STATE LICENSE NUMBER | DC6063 | 01 |
| TX | 0884470-01 | 05 |
| Other Name | Type Code |
|---|---|
| Michael T. Fleck DC PA | Former Legal Business Name - Organization |
| Street Address |
799 W. GIBSON STE 700 |
| City | JASPER |
| State | TX |
| Zip Code | 75948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295340396 | Robyn K Griffith | Pharmacist | 2075 Worth St, Hemphill, TX 75948 | 2020-09-15 |
| 1306480314 | Melody Averett | Occupational Therapy Assistant | 1527 Worth Street, Hemphill, TX 75948 | 2019-11-01 |
| 1477787307 | Outreach Health Community Care Services, Lc | Nursing Care | 170 Italy Road, Hemphill, TX 75948 | 2009-05-06 |
| 1568615573 | Hrl Management Inc | Family Medicine | 2421 Worth Street, Hemphill, TX 75948 | 2008-11-04 |
| 1144488768 | Hemphill Isd | Local Education Agency (LEA) | 1000 Milam St, Hemphill, TX 75948 | 2008-05-30 |
| 1558576074 | Stephanie Elliott | Student in an Organized Health Care Education/Training Program | 1000 Milam St., Hemphill, TX 75948 | 2007-05-10 |
| 1831313485 | Jeffrey R. Price | Chiropractor | 2025 Highway 83 West, Hemphill, TX 75948 | 2007-04-13 |
| 1346369402 | John Allan Webb | Counselor | 238 Sunny Acres, Hemphill, TX 75948 | 2007-03-28 |
| 1427199538 | Bret G Sauer | Dentist | 1580 Highway 83 West, Hemphill, TX 75948 | 2007-02-09 |
| 1568545309 | Gary Robert Golden | Optometrist | 280 N Oak St, Hemphill, TX 75948 | 2006-10-23 |
| Find all providers in zip 75948 | ||||
| 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 |
|---|---|---|---|---|
| 1962062935 | Lindsey Linne | Chiropractor | 671 3rd Ave Ste E, Jasper, IN 47546-3653 | 2019-06-20 |
| 1356880272 | Peak Performance Chiropractic | Chiropractor | 514 W Clark St, 340, Jasper, AR 72641-9723 | 2017-02-13 |
| 1811442577 | Tember Mcneill | Chiropractor | 514 W. Clark Street, Suite 340, Jasper, AR 72641 | 2016-08-23 |
| 1669800660 | Pickens County Chiropractic | Chiropractor | 95 North Main Street, Jasper, GA 30143 | 2013-10-29 |
| 1265708473 | Honeycutt Chiropractic Clinic, P.C. | Chiropractor | 1800 Birmingham Ave., Jasper, AL 35501-5461 | 2012-04-02 |
| 1891084323 | Tracy Lynn Bailey | Chiropractor | 1450 Executive Blvd, Jasper, IN 47546-9300 | 2011-04-05 |
| 1881925873 | Amanda Jo Smith-bradway | Chiropractor | 725 W 6th St, Jasper, IN 47546-2629 | 2010-01-15 |
| 1215260914 | Summer Lee Langford | Chiropractor | 799 W Gibson St, 700, Jasper, TX 75951-4985 | 2009-09-12 |
| 1124351820 | Bric Lee Langford | Chiropractor | 799 W Gibson St Ste 700, Jasper, TX 75951-4979 | 2009-09-12 |
| 1558536581 | David Timothy Brannan | Chiropractor | 61 Bill Wigington Pkwy, Ste 101, Jasper, GA 30143-6862 | 2008-04-30 |
| Find all providers in JASPER | ||||
Please comment or provide details below to improve the information on EAST TEXAS CHIROPRACTIC OF JASPER, PA.
| 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.