1538376322 NPI number — L & L CENTRAL HEALTHCARE, P.C.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1538376322 NPI number — L & L CENTRAL HEALTHCARE, P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
L & L CENTRAL HEALTHCARE, P.C.
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:
1538376322
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/30/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2800 FORESTWOOD DR
Provider Second Line Business Mailing Address:
STE 102
Provider Business Mailing Address City Name:
ARLINGTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
76006-2792
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
817-649-9800
Provider Business Mailing Address Fax Number:
817-649-9803

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2800 FORESTWOOD DR
Provider Second Line Business Practice Location Address:
STE 102
Provider Business Practice Location Address City Name:
ARLINGTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76006-2792
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
817-649-9800
Provider Business Practice Location Address Fax Number:
817-649-9803
Provider Enumeration Date:
05/17/2007

Additional Information

Authorized Official

Authorized Official Last Name:
LANE
Authorized Official First Name:
CHARLES
Authorized Official Middle Name:
RUSSELL
Authorized Official Title or Position:
CHIROPRACTOR
Authorized Official Telephone Number:
817-649-9800

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  7158 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 80560X . This is a "BCBS" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 1265542781 . This is a "NPI" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 1538376322 . This is a "GROUP NPI" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com