Provider Demographics
NPI:1417359654
Name:BACKFIT, PLLC.
Entity type:Organization
Organization Name:BACKFIT, PLLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CLINICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:ALEXANDER
Authorized Official - Last Name:TARPOFF
Authorized Official - Suffix:II
Authorized Official - Credentials:DC
Authorized Official - Phone:830-214-2575
Mailing Address - Street 1:324 SKYTRAIL DR
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-9008
Mailing Address - Country:US
Mailing Address - Phone:830-214-2575
Mailing Address - Fax:830-214-2577
Practice Address - Street 1:468 S SEGUIN AVE
Practice Address - Street 2:STE. 402
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-7664
Practice Address - Country:US
Practice Address - Phone:830-214-2575
Practice Address - Fax:830-214-2577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-18
Last Update Date:2014-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12000111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty