Provider Demographics
NPI:1154350973
Name:TRUE CHIROPRACTIC AND REHABILITATION, PA
Entity type:Organization
Organization Name:TRUE CHIROPRACTIC AND REHABILITATION, PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/PROPRIETOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:A
Authorized Official - Last Name:THIRY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:409-833-9505
Mailing Address - Street 1:3986 DOWLEN RD
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77706-6847
Mailing Address - Country:US
Mailing Address - Phone:409-833-9505
Mailing Address - Fax:409-833-9525
Practice Address - Street 1:3986 DOWLEN RD
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77706-6847
Practice Address - Country:US
Practice Address - Phone:409-833-9505
Practice Address - Fax:409-833-9525
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-02
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6932111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty