Provider Demographics
NPI:1174897581
Name:CAPULI CHIROPRACTIC HEALTHCARE PC
Entity type:Organization
Organization Name:CAPULI CHIROPRACTIC HEALTHCARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:SALVADOR
Authorized Official - Middle Name:
Authorized Official - Last Name:CAPULI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:817-460-1131
Mailing Address - Street 1:2223 W PARK ROW DR
Mailing Address - Street 2:SUITE C
Mailing Address - City:PANTEGO
Mailing Address - State:TX
Mailing Address - Zip Code:76013-3496
Mailing Address - Country:US
Mailing Address - Phone:817-460-1131
Mailing Address - Fax:817-460-1195
Practice Address - Street 1:2223 W PARK ROW DR
Practice Address - Street 2:SUITE C
Practice Address - City:PANTEGO
Practice Address - State:TX
Practice Address - Zip Code:76013-3496
Practice Address - Country:US
Practice Address - Phone:817-460-1131
Practice Address - Fax:817-460-1195
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-02
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4649111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXT87984Medicare UPIN