LAKE TEXOMA CHIROPRACTIC (NPI# 1700293453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700293453 |
| Entity Type | Organization |
| Organization Name | LAKE TEXOMA CHIROPRACTIC |
| Practice Address |
81750 N State Hwy 289 Ste 102 Pottsboro TX 75076 |
| Mailing Address |
81750 N State Hwy 289 Ste 102 Pottsboro TX 75076-4966 |
| Practice Telephone | 9033279166 |
| Practice Fax Number | 8888868139 |
| Mailing Telephone | 3304829350 |
| Mailing Fax Number | 3304822336 |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2018-01-10 |
| Authorized Official Name | MRS. NATALIE ANN BEIGHT (OWNER) |
| Authorized Official Telephone | 9033279166 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC009315 | PA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | HIGHMARK | 001676219 | 01 |
| TX | 3413536-01 | 05 | |
| PA | RR MEDICARE | DE8220 | 01 |
| Street Address |
81750 N STATE HWY 289 STE 102 |
| City | POTTSBORO |
| State | TX |
| Zip Code | 75076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821615766 | Lauren Ashley Black | Pharmacist | 11205 N. Hwy 289, Pottsboro, TX 75076 | 2020-06-26 |
| 1750717948 | Deborah Lynn Burchfield | Nurse Practitioner | 81750 N State Hwy 289, Ste 101, Pottsboro, TX 75076 | 2013-09-19 |
| 1710227202 | Brookshire Grocery Company | Pharmacy | 11205 N Hwy 289, Pottsboro, TX 75076 | 2013-02-21 |
| 1275149692 | Steven Michael Fairchild | Pharmacist | 11205 N. Hwy 289, Pottsboro, TX 75076 | 2020-09-21 |
| 1750731493 | Rosa Villanueva | Physical Therapy Assistant | 190 Civic Cir, Suite 210, Lewisville, TX 75076 | 2016-06-14 |
| 1871929737 | Lake Texoma Health Clinic, Pllc | Clinic/Center | 81750 N State Hwy 289, Suite 101, Pottsboro, TX 75076 | 2013-09-23 |
| 1578659314 | Family Pharmacy of Pottsboro | Pharmacy | 111 Hiway 120e, Suite 101, Pottsboro, TX 75076-0000 | 2006-10-05 |
| 1194048819 | James Boothby Leblanc | Counselor | 105 Cardinal Lane, Pottsboro, TX 75076-0555 | 2010-03-09 |
| 1245391473 | Michael Arthur Kennedy | Physician Assistant | 111 E Hwy 120, Ste. 104, Pottsboro, TX 75076-3008 | 2006-12-12 |
| 1992272892 | Karen Ranee Bardwell | Social Worker | 108 S Magnolia St, Pottsboro, TX 75076-3058 | 2018-10-29 |
| Find all providers in zip 75076 | ||||
| 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 |
|---|---|---|---|---|
| 1689275463 | Chiroconcepts of Frisco North Pllc | Chiropractor | 13108 Dallas Pkwy, Suite 410, Frisco, TX 75034 | 2020-11-06 |
| 1194326546 | Haydn Storey | Chiropractor | 1807 W Slaughter Ln Ste 450, Austin, TX 78748-6269 | 2020-11-03 |
| 1891395166 | Henry Pham | Chiropractor | 8900 Lakes At 610 Dr Apt 322, Houston, TX 77054-2881 | 2020-10-27 |
| 1922607118 | Michael Anthony Arroyo | Chiropractor | 2205 W Lincoln St, Harlingen, TX 78552-5921 | 2020-10-20 |
| 1003415126 | Return To Health LLC | Chiropractor | 4474 Spring Valley Rd, Farmers Branch, TX 75244-3703 | 2020-10-20 |
| 1124627286 | Kirsten Rene Parker | Chiropractor | 750 County Road 234 Bldg 1, Georgetown, TX 78633-4426 | 2020-10-20 |
| 1659970978 | Madison De Hoyos | Chiropractor | 930 Hilltop Dr Ste 102, Weatherford, TX 76086-5943 | 2020-10-19 |
| 1336748797 | Zachary James Foreman | Chiropractor | 7900 Fm 1826 Ste 100, Austin, TX 78737-1410 | 2020-10-18 |
| 1659979276 | Shawn Brown | Chiropractor | 9910 Huebner Rd Ste 150, San Antonio, TX 78240-1399 | 2020-10-15 |
| 1598363384 | Cody James Davis | Chiropractor | 4540 W Bailey Boswell Rd Ste 170, Fort Worth, TX 76179-4439 | 2020-10-14 |
| Find all providers with the same taxonomy | ||||
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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.