Provider Demographics
NPI:1699277400
Name:KNIGHT FAMILY CHIROPRACTIC OF ANNA, LLC
Entity type:Organization
Organization Name:KNIGHT FAMILY CHIROPRACTIC OF ANNA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:KNIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:903-465-1881
Mailing Address - Street 1:1108 W WHITE ST STE 100
Mailing Address - Street 2:
Mailing Address - City:ANNA
Mailing Address - State:TX
Mailing Address - Zip Code:75409-5638
Mailing Address - Country:US
Mailing Address - Phone:469-840-4111
Mailing Address - Fax:469-840-4112
Practice Address - Street 1:1108 W. WHITE ST.
Practice Address - Street 2:SUITE 100
Practice Address - City:ANNA
Practice Address - State:TX
Practice Address - Zip Code:75409
Practice Address - Country:US
Practice Address - Phone:903-465-1881
Practice Address - Fax:903-463-4070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-07
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6450111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty