=====================================================
General NPI Number Information
=====================================================
NPI Number | 1952540973
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | EULITT FAMILY CHIROPRACTIC, PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/14/2009
-----------------------------------------------------
Last Update Date | 02/14/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3401 W DAVIS ST SUITE A-2
-----------------------------------------------------
City | CONROE
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77304-1860
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 936-494-1222
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3401 W DAVIS ST SUITE A-2
-----------------------------------------------------
City | CONROE
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77304-1860
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. HARRY K EULITT
-----------------------------------------------------
Credential | D.C.
-----------------------------------------------------
Telephone | 936-494-1222
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | 10698
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------