Provider Demographics
NPI:1366615031
Name:HERRINGTON CHIROPRACTIC CLINIC
Entity type:Organization
Organization Name:HERRINGTON CHIROPRACTIC CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:MORROW
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:713-468-1272
Mailing Address - Street 1:1160 BLALOCK RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77055-7421
Mailing Address - Country:US
Mailing Address - Phone:713-468-1272
Mailing Address - Fax:713-980-3905
Practice Address - Street 1:1160 BLALOCK RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-7421
Practice Address - Country:US
Practice Address - Phone:713-468-1272
Practice Address - Fax:713-980-3905
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-02
Last Update Date:2008-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6316111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXU53820Medicare UPIN
TX00R63RMedicare PIN