Provider Demographics
NPI:1154533214
Name:AMEN CHIROPRACTIC PLLC
Entity type:Organization
Organization Name:AMEN CHIROPRACTIC PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:R
Authorized Official - Last Name:HUDGINS
Authorized Official - Suffix:II
Authorized Official - Credentials:DC
Authorized Official - Phone:210-525-0096
Mailing Address - Street 1:2313 N W MILITARY HWY
Mailing Address - Street 2:SUITE 117
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78231-2532
Mailing Address - Country:US
Mailing Address - Phone:210-525-0096
Mailing Address - Fax:210-525-9760
Practice Address - Street 1:2313 NW MILITARY HWY
Practice Address - Street 2:SUITE 117
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78231-2532
Practice Address - Country:US
Practice Address - Phone:210-525-0096
Practice Address - Fax:210-525-9760
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8254111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00183VMedicare PIN