Stolba Chiropractic Center P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

9041 Issued in TX

Legal business name

STOLBA CHIROPRACTIC CENTER P.C.

Practice address

507 Main St
Texarkana, TX 75501-5503

Phone

(903) 794-7981

NPI assigned

Sep 26, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Michael Dale Stolba, D.C.

Title

Owner

Phone

(903) 794-7981

Specialties & licenses 2

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710088430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 MAIN ST",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755015503",
            "telephone_number": "903-794-7981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 MAIN ST",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755015503",
            "telephone_number": "903-794-7981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOLBA CHIROPRACTIC CENTER P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STOLBA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-794-7981",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1623",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER #",
            "identifier": "8F123",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP #",
            "identifier": "5F123",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP #",
            "identifier": "0026HJ",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER #",
            "identifier": "5X792",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leli Omecham Stephen Agboire, RPH
• Stephen R. Brown, M.D., PA
• John O Stevens, MD
• Tiffaine Stevens, CHW
• Stephanie Ann Stewart
• Michael Dale Stolba, D.C.
• Dawn Strain, FNP
• John Michael Strayhorn, MD
• Stream Health Care PA
• Krystal Strickland, DRIVER

• Chiropractor in Texarkana, TX
• Providers in Texarkana, TX by specialty
• 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.