Organization Active NPI

Ark-la-Tex Total Healthcare, LLC

Doing business as Total Healthcare of Ark La Tex, LLC

  • Chiropractor
  • Wake Village, TX
National Provider Identifier
1760533244
Registry record updated Aug 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6942 Issued in TX
Legal business name
ARK-LA-TEX TOTAL HEALTHCARE, LLC
Doing business as
Total Healthcare of Ark La Tex, LLC
Practice address
4412 W 7TH St
Wake Village, TX 75501-6352
Phone
(903) 334-9110
Fax
(903) 223-3753
NPI assigned
Jan 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2007

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

Authorized official

Name
Dr. Stacy Burlin Warner, D.C.NPI 1760474795
Title
President
Phone
(903) 334-9110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 6942 TX Primary

Addresses

Primary practice location

4412 W 7TH St
Wake Village, TX 75501-6352

Mailing address

4412 W 7TH St
Wake Village, TX 75501-6352
Phone (903) 334-9110

Other identifiers 1

IdentifierTypeStateIssuer
1760474795OtherNPI DR. STACY WARNER, D.C

Other names 1

  • Total Healthcare of Ark La Tex, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

4412 W 7th St
Wake Village, TX 75501
Phone (903) 334-9110

Practitioners & affiliated clinicians

Practitioners 1

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": "1168646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186444800000",
    "number": "1760533244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4412 W 7TH ST",
            "city": "WAKE VILLAGE",
            "state": "TX",
            "postal_code": "755016352",
            "telephone_number": "903-334-9110",
            "fax_number": "903-223-3753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4412 W 7TH ST",
            "city": "WAKE VILLAGE",
            "state": "TX",
            "postal_code": "755016352",
            "telephone_number": "903-334-9110",
            "fax_number": "903-223-3753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARK-LA-TEX TOTAL HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-13",
        "last_updated": "2007-08-07",
        "status": "A",
        "authorized_official_last_name": "WARNER",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "BURLIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-334-9110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "6942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI DR. STACY WARNER, D.C",
            "identifier": "1760474795",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Total Healthcare of Ark La Tex, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wake Village, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; 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.