Provider Demographics
NPI:1285379669
Name:QUEBEDEAUX CHIROPRACTIC, PLLC
Entity type:Organization
Organization Name:QUEBEDEAUX CHIROPRACTIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAIGE
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:QUEBEDEAUX
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:985-513-8489
Mailing Address - Street 1:7420 AMBER MEADOW LOOP
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76502-5682
Mailing Address - Country:US
Mailing Address - Phone:985-513-8489
Mailing Address - Fax:
Practice Address - Street 1:2853 N MAIN ST STE 5
Practice Address - Street 2:
Practice Address - City:BELTON
Practice Address - State:TX
Practice Address - Zip Code:76513-1142
Practice Address - Country:US
Practice Address - Phone:254-933-7888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-01
Last Update Date:2022-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty