Elevation Health Highland Village, LLC

Organization Active NPI Chiropractor · Highland Village, TX

NPI 1619406147 · NPPES record last updated Jun 8, 2017

Key facts

NPI
1619406147
Entity type
Organization (NPI type 2)
Primary specialty
Chiropractor 111N00000X
License
13364 (TX)
Legal business name
ELEVATION HEALTH HIGHLAND VILLAGE, LLC
Practice address
2150 Justin Rd Ste 100
Highland Village, TX 75077-7126
Phone
(469) 763-3221
Fax
(469) 763-3222
NPI assigned
Jun 8, 2017
Organization subpart
No

Authorized official

Name
Tiffany Henderson
Title
Business Manager
Phone
(817) 697-2560

National Provider Directory

Locations

7948 Davis Blvd
Ste 100
North Richland Hills, TX 76182

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor
Group: 193400000X SINGLE SPECIALTY GROUP
111N00000X 13364 TX Yes

Addresses

Primary practice location

2150 Justin Rd Ste 100
Highland Village, TX 75077-7126

Mailing address

7948 Davis Blvd Ste 100
North Richland Hills, TX 76182-6953
Phone (817) 697-2560

Other identifiers

IdentifierTypeStateIssuer
1851829774OtherTXINDIVIDUAL NPI

Other providers in Highland Village, TX

All providers in Highland Village, TX · Chiropractor in Texas

Sources for this page

Verify at the official NPI Registry.