Healthcare Provider Details

I. General information

NPI: 1295394625
Provider Name (Legal Business Name): NH CHIROPRACTIC PAIN MANAGEMENT AND REHABILITATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2019
Last Update Date: 06/10/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1003 LEGACY RANCH RD SUITE 206
WAXAHACHIE TX
75165-1294
US

IV. Provider business mailing address

1003 LEGACY RANCH RD SUITE 206
WAXAHACHIE TX
75165-1294
US

V. Phone/Fax

Practice location:
  • Phone: 972-543-3876
  • Fax: 844-270-0782
Mailing address:
  • Phone: 972-543-3876
  • Fax: 844-270-0782

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NI0013X
TaxonomyIndependent Medical Examiner Chiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code111NN0400X
TaxonomyNeurology Chiropractor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. VINH P NGUYEN
Title or Position: OWNER
Credential: D.C.
Phone: 832-452-5469