Organization Active NPI

Texan Chiropractic Center, PLLC

  • Chiropractor
  • Fresno, TX
National Provider Identifier
1356853048
Registry record updated Nov 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
TEXAN CHIROPRACTIC CENTER, PLLC
Practice address
2703 Driftwood Bend Dr
Fresno, TX 77545-6140
Phone
(832) 434-3069
NPI assigned
Nov 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2017

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

Authorized official

Name
Sabrena Simmons, DCNPI 1164570719
Title
Director
Phone
(832) 434-3039

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

2703 Driftwood Bend Dr
Fresno, TX 77545-6140

Mailing address

PO Box 3331
Sugar Land, TX 77487-3300
Phone (832) 434-3069

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250423000944 TX Part B Supplier - Clinic/Group Practice 2860917788 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

8323 Southwest Fwy
Ste 508
Houston, TX 77074
Phone (713) 771-5222

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1509580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509580800000",
    "number": "1356853048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3331",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774873300",
            "telephone_number": "832-434-3069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2703 DRIFTWOOD BEND DR",
            "city": "FRESNO",
            "state": "TX",
            "postal_code": "775456140",
            "telephone_number": "832-434-3069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAN CHIROPRACTIC CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-02",
        "last_updated": "2017-11-02",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "SABRENA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "832-434-3039",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.