Provider Demographics
NPI:1154739480
Name:LOVE CHIROPRACTIC
Entity type:Organization
Organization Name:LOVE CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SILVIA
Authorized Official - Middle Name:ELENA
Authorized Official - Last Name:MARRUFO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:915-317-0846
Mailing Address - Street 1:1615 N STEVENS ST
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79903-1702
Mailing Address - Country:US
Mailing Address - Phone:915-317-0846
Mailing Address - Fax:
Practice Address - Street 1:704 E YANDELL DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-5314
Practice Address - Country:US
Practice Address - Phone:915-317-0846
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-30
Last Update Date:2014-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11331111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty