Bradshaw Chiropractic Center in Odessa - Chiropractor

Bradshaw Chiropractic Center - NPI 1619095767

Bradshaw Chiropractic Center is a Chiropractor in Odessa, Texas. Bradshaw Chiropractic Center practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Bradshaw Chiropractic Center is 1619095767. The last update date is 2008-09-15.

Bradshaw Chiropractic Center's current location address is 2626 John Ben Shepperd Pkwy, Odessa, Texas. You can contact this provider via phone number 4323332225 and fax number 4323332226. The mailing address for Bradshaw Chiropractic Center is 2626 John Ben Shepperd Pkwy, Odessa, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Bradshaw Chiropractic Center
Address 2626 John Ben Shepperd Pkwy, Odessa, Texas
Phone Number 4323332225
Fax Number 4323332226
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Bradshaw Alan Wesley
Credentials DC
Telephone Number 4323332225

NPI Number Detail

NPI Number 1619095767
Provider Enumeration Date 2007-03-27
Last Updated Date 2008-09-15

Provider Mailing Address Detail

Address 2626 John Ben Shepperd Pkwy
City Odessa
State Texas (TX)
Post Code 797611958
Phone Number 4323332225
Fax Number 4323332226

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No DC6046
Definition:
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 inte

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
83470701 TX --

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FAQs about Bradshaw Chiropractic Center

What is the unique identification code assigned to Bradshaw Chiropractic Center by the Centers for Medicare & Medicaid Services?

The Bradshaw Chiropractic Center has been issued the NPI (National Provider Identifier) 1619095767. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Bradshaw Chiropractic Center is located?

The Bradshaw Chiropractic Center is situated at the following address: 2626 John Ben Shepperd Pkwy, Odessa, TX, 797611958.

What is the area of specialization for Bradshaw Chiropractic Center, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Bradshaw Chiropractic Center is Chiropractor, and the corresponding taxonomy code that categorizes this area of expertise is 111N00000X.

On what date did the Bradshaw Chiropractic Center receive the assignment of its 1619095767 from the Centers for Medicare & Medicaid Services?

The Bradshaw Chiropractic Center was issued its 1619095767 by the Centers for Medicare & Medicaid Services on 2007-03-27.

As of what date were the details related to Bradshaw Chiropractic Center most recently updated or revised?

The information pertaining to Bradshaw Chiropractic Center, including its address, specialty, and other relevant details, was last updated or revised on 2008-09-15.

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