Pantego Injury Clinic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PANTEGO INJURY CLINIC INC

Practice address

3216 W Park Row Dr Ste B
Pantego, TX 76013-3136

Phone

(682) 800-2185

Fax

(469) 533-0307

NPI assigned

Sep 11, 2023

Organization subpart

No

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

Authorized official

Name

David Long

Title

Director

Phone

(469) 576-3136

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694390400000",
    "number": "1770360257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 195884",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752198615",
            "telephone_number": "469-576-3136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3216 W PARK ROW DR STE B",
            "city": "PANTEGO",
            "state": "TX",
            "postal_code": "760133136",
            "telephone_number": "682-800-2185",
            "fax_number": "469-533-0307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANTEGO INJURY CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-09",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "469-576-3136"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Aaron Ortega, DC
• Brianna Ortiz
• Laura Overton, MA, CCC-SLP, BRS-FD
• Painted Halos LLC
• Palmtree Healthcare Services
• Jonathan Parks, DC
• Ashley Parrish, LMSW
• Peach Pharmacy, LLC (Peach Pharmacy)
• Jeffrey Carl Pedersen, D.C.
• Karina Perez, PA-C

• Chiropractor in Pantego, TX
• Providers in Pantego, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.