Eastside Chiropractic, Pc

LBN: Eastside Chiropractic, Pc
Eastside Chiropractic, Pc is an health care organization with primary practice located at 3117 Handley Dr , Fort Worth TX 76112-7012. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Eastside Chiropractic, Pc can be contacted via phone (817) 457-4441, or through Shrestha, Dazzle B via phone (817) 457-4441.

Contact Information

Primary practice address
3117 Handley Dr Fort Worth TX 76112-7012
Phone: (817) 457-4441
Fax: (817) 457-4467
Website:
Map and Directions
Authorized official contact:
Name: Shrestha, Dazzle B
Phone: (817) 457-4441

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 5482 Texas

Profile Details

NPI number 1922163039
LBN Legal business name Eastside Chiropractic, Pc
DBA Doing business as
Authorized official Shrestha, Dazzle B
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2006
Last updated Feb 24th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922163039 NPPES
Texas MEDICAID 1747230

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