B.C.C. Inc.Apcc

Organization Active NPI Rehabilitation Chiropractor · Texarkana, TX

NPI 1154440949 · NPPES record last updated Jun 20, 2012

Key facts

NPI
1154440949
Entity type
Organization (NPI type 2)
Primary specialty
Rehabilitation Chiropractor 111NR0400X
License
7000 (TX)
Legal business name
B.C.C. INC.APCC
Practice address
3801 N State Line Ave
Texarkana, TX 75503-3132
Phone
(903) 792-3763
Fax
(903) 792-6898
NPI assigned
Mar 29, 2007
Organization subpart
No

Authorized official

Name
Ms. Terri W Blouin
Title
Insurance Supervisor
Phone
(985) 653-8903

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

3801 N State Line Ave
Texarkana, TX 75503
Phone (903) 792-3762

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor
Group: 193400000X SINGLE SPECIALTY GROUP
111NR0400X 7000 TX Yes

Addresses

Primary practice location

3801 N State Line Ave
Texarkana, TX 75503-3132

Mailing address

900 W Airline Hwy
La Place, LA 70068-3816
Phone (985) 653-8903

Other identifiers

IdentifierTypeStateIssuer
91929OtherARAR BLUE CROO
1217457-03MedicaidTX
128823718OtherARAR MEDICAID

Other names

  • BACK PAIN CHIROPRACTIC Doing business as

Other providers in Texarkana, TX

All providers in Texarkana, TX · Rehabilitation Chiropractor in Texas

Sources for this page

Verify at the official NPI Registry.