Provider Demographics
NPI:1386914133
Name:TEXAS INJURY CHIROPRACTIC
Entity type:Organization
Organization Name:TEXAS INJURY CHIROPRACTIC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:
Authorized Official - Last Name:GARZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-399-7200
Mailing Address - Street 1:2480 W US HIGHWAY 77 STE 9
Mailing Address - Street 2:
Mailing Address - City:SAN BENITO
Mailing Address - State:TX
Mailing Address - Zip Code:78586-7715
Mailing Address - Country:US
Mailing Address - Phone:956-399-7200
Mailing Address - Fax:
Practice Address - Street 1:2480 W. HWY. 77
Practice Address - Street 2:SUITE 9
Practice Address - City:SAN BENITO
Practice Address - State:TX
Practice Address - Zip Code:78586-7715
Practice Address - Country:US
Practice Address - Phone:956-399-7200
Practice Address - Fax:956-399-7201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-11
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6577111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001889701Medicaid
TX8H9255OtherBLUECROSS/BLUESHIELD
TX8H9255OtherBLUECROSS/BLUESHIELD
TXU59553Medicare UPIN