Healthcare Provider Details

I. General information

NPI: 1710766167
Provider Name (Legal Business Name): T-SPINE CHIROPRACTIC AND REHABILITATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2023
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1018 E GOODE ST STE 102
QUITMAN TX
75783-2563
US

IV. Provider business mailing address

344 NW LOOP 564 STE 100
MINEOLA TX
75773-1121
US

V. Phone/Fax

Practice location:
  • Phone: 903-866-6505
  • Fax: 903-763-2550
Mailing address:
  • Phone: 903-866-6505
  • Fax: 903-213-9237

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ROWDY TEAFF
Title or Position: CO-OWNER
Credential: DC
Phone: 903-866-6505