Provider Demographics
NPI:1316460538
Name:ADJUST TEXAS CHIROPRACTIC & WELLNESS PLLC
Entity type:Organization
Organization Name:ADJUST TEXAS CHIROPRACTIC & WELLNESS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:RUBY
Authorized Official - Middle Name:O
Authorized Official - Last Name:GARZA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:956-739-6062
Mailing Address - Street 1:729 GRAPEVINE HWY # 433
Mailing Address - Street 2:
Mailing Address - City:HURST
Mailing Address - State:TX
Mailing Address - Zip Code:76054-2805
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:781 LONESOME DOVE TRL # B
Practice Address - Street 2:
Practice Address - City:HURST
Practice Address - State:TX
Practice Address - Zip Code:76054-6018
Practice Address - Country:US
Practice Address - Phone:817-656-4760
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-19
Last Update Date:2017-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11342111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty