Provider Demographics
NPI:1447440870
Name:PERRY CHIROPRACTIC, P.C.
Entity type:Organization
Organization Name:PERRY CHIROPRACTIC, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:ALFORD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:903-757-3785
Mailing Address - Street 1:123 GILMER RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75604-4629
Mailing Address - Country:US
Mailing Address - Phone:903-757-3785
Mailing Address - Fax:903-757-9390
Practice Address - Street 1:123 GILMER RD
Practice Address - Street 2:SUITE 3
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75604-4629
Practice Address - Country:US
Practice Address - Phone:903-757-3785
Practice Address - Fax:903-757-9390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-01
Last Update Date:2007-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6514111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00342RMedicare PIN
TXU56672Medicare UPIN