Provider Demographics
NPI:1154189363
Name:GUNTER CHIROPRACTIC, PLLC
Entity type:Organization
Organization Name:GUNTER CHIROPRACTIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCLELLAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:214-477-7626
Mailing Address - Street 1:110 S 4TH ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:GUNTER
Mailing Address - State:TX
Mailing Address - Zip Code:75058
Mailing Address - Country:US
Mailing Address - Phone:214-477-7626
Mailing Address - Fax:
Practice Address - Street 1:110 S 4TH ST
Practice Address - Street 2:SUITE 102
Practice Address - City:GUNTER
Practice Address - State:TX
Practice Address - Zip Code:75058
Practice Address - Country:US
Practice Address - Phone:214-477-7626
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-12
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service