Provider Demographics
NPI:1386427979
Name:TXK CHIROPRACTIC
Entity type:Organization
Organization Name:TXK CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:CHRISTOPHER
Authorized Official - Last Name:JOBE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:903-499-6369
Mailing Address - Street 1:4206 RICHMOND PL
Mailing Address - Street 2:
Mailing Address - City:TEXARKANA
Mailing Address - State:TX
Mailing Address - Zip Code:75503-0003
Mailing Address - Country:US
Mailing Address - Phone:903-499-6369
Mailing Address - Fax:903-499-5388
Practice Address - Street 1:4206 RICHMOND PL
Practice Address - Street 2:
Practice Address - City:TEXARKANA
Practice Address - State:TX
Practice Address - Zip Code:75503-0003
Practice Address - Country:US
Practice Address - Phone:903-499-6369
Practice Address - Fax:903-499-5388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-16
Last Update Date:2024-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center