NPIMap

Organization Active NPI

Lifeguard Family Health L.L.C.

Doing business as Heuser Chiropractic

  • Chiropractor
  • Tyler, TX
National Provider Identifier
1316163587
Registry record updated Aug 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9325 Issued in TX
Legal business name
LIFEGUARD FAMILY HEALTH L.L.C.
Doing business as
Heuser Chiropractic
Practice address
1121 E Southeast Loop 323 Ste 102
Tyler, TX 75701-9660
Phone
(903) 561-1071
Fax
(903) 561-6841
NPI assigned
Apr 17, 2007
Last updated
Aug 17, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2011

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

Authorized official

Name
Dr. Mark Allen Osborne, D.C.NPI 1497771422
Title
Owner
Phone
(903) 566-7725

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 9325 TX Primary

Addresses

Primary practice location

1121 E Southeast Loop 323 Ste 102
Tyler, TX 75701-9660

Mailing address

13706 County Road 291
Tyler, TX 75707-4844
Phone (903) 566-7725

Other identifiers 1

IdentifierTypeStateIssuer
146782101MedicaidTX

Other names 1

  • Heuser Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

1121 Ese 323 Loop
Ste 102
Tyler, TX 75701
Phone (903) 561-1071

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313539200000",
    "number": "1316163587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13706 COUNTY ROAD 291",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757074844",
            "telephone_number": "903-566-7725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 E SOUTHEAST LOOP 323 STE 102",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757019660",
            "telephone_number": "903-561-1071",
            "fax_number": "903-561-6841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEGUARD FAMILY HEALTH L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2011-08-17",
        "status": "A",
        "authorized_official_last_name": "OSBORNE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-566-7725",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146782101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heuser Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; 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.