Organization Name: | PHYSICIAN'S CHIROPRACTIC SERVICES, INC |
NPI Number: | 1417078262 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PHILIP DANIEL CONKLIN (PRESIDENT) |
Mailing Address: | 15055 East Fwy Suite C10 Channelview |
State: | TX US |
Postal Code: | 775304144 |
Phone Number: | 2818620800 |
Fax Number: | 2818620835 |
NPI Enumeration Date: | 04/02/2007 |
NPI Last Update Date: | 08/08/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 6146 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |