Provider Demographics
NPI:1285775080
Name:HORNSBY, CHARLES HUNTER (DC)
Entity type:Individual
Prefix:
First Name:CHARLES
Middle Name:HUNTER
Last Name:HORNSBY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1224 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ALICE
Mailing Address - State:TX
Mailing Address - Zip Code:78332-5049
Mailing Address - Country:US
Mailing Address - Phone:361-455-2238
Mailing Address - Fax:
Practice Address - Street 1:1224 E MAIN ST
Practice Address - Street 2:
Practice Address - City:ALICE
Practice Address - State:TX
Practice Address - Zip Code:78332-5049
Practice Address - Country:US
Practice Address - Phone:361-455-2238
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2010-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9358111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor