1316021595 NPI number — PARIS CHIROPRACTIC ASSOCIATES INC

Table of content: (NPI 1316021595)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1316021595 NPI number — PARIS CHIROPRACTIC ASSOCIATES INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PARIS CHIROPRACTIC ASSOCIATES INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1316021595
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/09/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3305 NE LOOP 286
Provider Second Line Business Mailing Address:
SUITE A
Provider Business Mailing Address City Name:
PARIS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75460
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
903-785-5551
Provider Business Mailing Address Fax Number:
903-784-4188

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3305 NE LOOP 286
Provider Second Line Business Practice Location Address:
SUITE A
Provider Business Practice Location Address City Name:
PARIS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75460
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
903-785-5551
Provider Business Practice Location Address Fax Number:
903-784-4188
Provider Enumeration Date:
10/25/2006

Additional Information

Authorized Official

Authorized Official Last Name:
THOMPSON
Authorized Official First Name:
GREGORY
Authorized Official Middle Name:
LOUIS
Authorized Official Title or Position:
PRESIDENT CO OWNER
Authorized Official Telephone Number:
903-785-5551

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 892825 . This is a "BCBS" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 6176548002 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 001906901 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 892815 . This is a "BCBS" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 6166749 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".




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