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General NPI Number Information
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NPI Number | 1316298904
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Entity Type | Organization
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Legal Business Name | TXH&W,LLC
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Dates
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Enumeration Date | 09/24/2012
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Last Update Date | 09/24/2012
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Provider Practice Location Address
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Address Line | 9201 FM 1488 RD SUITE 230
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City | MAGNOLIA
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State | TX
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Zip | 77354-2398
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Country | US
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Telephone | 281-259-7667
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Fax | 281-259-7662
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Provider Business Mailing Address
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Address Line | 9201 FM 1488 RD SUITE 230
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City | MAGNOLIA
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State | TX
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Zip | 77354-2398
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Country | US
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Telephone | 281-259-7667
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Fax | 281-259-7662
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JONATHAN CHAD EVERETT
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Credential | D.C
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Telephone | 281-259-7667
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 11673
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License Number State | TX
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