Accident Industrial Injury Care Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6672 Issued in TX

Legal business name

ACCIDENT INDUSTRIAL INJURY CARE CENTER

Practice address

1360 N Lee Trevino Dr
Suite 109
El Paso, TX 79936-6400

Phone

(915) 633-8150

Fax

(915) 633-8140

NPI assigned

Mar 19, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stanley French, D.C.

Title

Owner

Phone

(915) 633-8150

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164546792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 N LEE TREVINO DR",
            "address_2": "SUITE 109",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799366400",
            "telephone_number": "915-633-8150",
            "fax_number": "915-633-8140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 N LEE TREVINO DR",
            "address_2": "SUITE 109",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799366400",
            "telephone_number": "915-633-8150",
            "fax_number": "915-633-8140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCIDENT INDUSTRIAL INJURY CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRENCH",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-633-8150",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "6672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "8A7930",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS RR PROVIDER #",
            "identifier": "P00060668",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Frank Acevedo

• All providers in El Paso, TX
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.