Provider Demographics
NPI:1427624766
Name:AWARENESS CHIROPRACTIC LLC
Entity type:Organization
Organization Name:AWARENESS CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:H
Authorized Official - Last Name:LABUS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:817-994-7694
Mailing Address - Street 1:4005 GATEWAY DR STE 200
Mailing Address - Street 2:
Mailing Address - City:COLLEYVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76034-5906
Mailing Address - Country:US
Mailing Address - Phone:817-868-0252
Mailing Address - Fax:817-868-0245
Practice Address - Street 1:4005 GATEWAY DR STE 200
Practice Address - Street 2:
Practice Address - City:COLLEYVILLE
Practice Address - State:TX
Practice Address - Zip Code:76034-5906
Practice Address - Country:US
Practice Address - Phone:817-868-0252
Practice Address - Fax:817-868-0245
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-27
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty