NPI 1710106158 · live from the CMS NPI Registry
Acupuncture Clinic
Chiropractor in Corpus Christi, TX. National Provider Identifier 1710106158, active.
NPI record
| NPI | 1710106158 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 5705 Gollihar, Ste 2, Corpus Christi, TX 78412 |
| Practice phone | 361-991-0460 |
| Enumerated | April 24, 2007 |
| Last updated | November 26, 2008 |
| Authorized official | Jalil Baradaran, President |
| Other names | Advanced Health Clinic |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acupuncturist | 171100000X | AC138 (TX) |
| Chiropractor primary | 111N00000X | DC6152 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.