Healthcare Provider Details

I. General information

NPI: 1265487573
Provider Name (Legal Business Name): NATALIE A HAIR DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/24/2006
Last Update Date: 10/18/2023
Certification Date: 10/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

304 CHARLIE DR
WHITESBORO TX
76273-1103
US

IV. Provider business mailing address

969 COUNTY ROAD 203
COLLINSVILLE TX
76233-2179
US

V. Phone/Fax

Practice location:
  • Phone: 903-951-5555
  • Fax: 833-561-2545
Mailing address:
  • Phone: 903-327-9499
  • Fax: 833-561-2545

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number12360
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC009315
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number4272
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: