Provider Demographics
NPI:1871752378
Name:RUNNELS CHIROPRACTIC CLINIC INC
Entity type:Organization
Organization Name:RUNNELS CHIROPRACTIC CLINIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:D
Authorized Official - Last Name:RUNNELS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:281-443-1287
Mailing Address - Street 1:5643 TREASCHWIG RD
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77373-7162
Mailing Address - Country:US
Mailing Address - Phone:281-443-1287
Mailing Address - Fax:281-443-1288
Practice Address - Street 1:5643 TREASCHWIG RD
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77373-7162
Practice Address - Country:US
Practice Address - Phone:281-443-1287
Practice Address - Fax:281-443-1288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-09
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9478111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty