Provider Demographics
NPI:1992962575
Name:TOTAL HEALTH MANAGEMENT INC
Entity type:Organization
Organization Name:TOTAL HEALTH MANAGEMENT INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:S
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:915-857-6607
Mailing Address - Street 1:1470 GEORGE DIETER STE C
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-7631
Mailing Address - Country:US
Mailing Address - Phone:915-857-6607
Mailing Address - Fax:915-857-7518
Practice Address - Street 1:1470 GEORGE DIETER STE C
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-7631
Practice Address - Country:US
Practice Address - Phone:915-857-6607
Practice Address - Fax:915-857-7518
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-21
Last Update Date:2014-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC4717111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0471649OtherCIGNA
TX5279389OtherAETNA
TX001383101Medicaid
TX089950FOtherBCBS TX
TX0471649OtherCIGNA
TXT12521Medicare UPIN