Provider Demographics
NPI:1588794671
Name:HALSELL, ERIC NIXON (DC, DACBO)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:NIXON
Last Name:HALSELL
Suffix:
Gender:M
Credentials:DC, DACBO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 N MAIN ST
Mailing Address - Street 2:SUITE G
Mailing Address - City:CLEBURNE
Mailing Address - State:TX
Mailing Address - Zip Code:76033-3824
Mailing Address - Country:US
Mailing Address - Phone:817-641-2000
Mailing Address - Fax:
Practice Address - Street 1:501 N MAIN ST
Practice Address - Street 2:SUITE G
Practice Address - City:CLEBURNE
Practice Address - State:TX
Practice Address - Zip Code:76033-3824
Practice Address - Country:US
Practice Address - Phone:817-641-2000
Practice Address - Fax:817-558-9561
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4791111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001421901Medicaid
TXDC4791Medicare UPIN
TX001421901Medicaid