Lavang Healthcare Corporation

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

9847 Issued in TX

Legal business name

LAVANG HEALTHCARE CORPORATION

Practice address

2830 N Beach St
Suite a
Haltom City, TX 76111-6246

Phone

(817) 831-7500

Fax

(817) 831-7502

NPI assigned

Jul 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Chuong Van Pham, D.C.NPI 1992767313

Title

Director/Owner

Phone

(817) 831-7500

Specialties & licenses 1

Addresses

Other names 1

• Advanced Spinal Care Clinic Doing business as

Locations

Practitioners 1

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

• Chuong Van Pham, D.C.

  • Chiropractor
  • Haltom City, TX
  • NPI 1992767313
  NPD (past) Authorized official

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185321600000",
    "number": "1972793024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 N BEACH ST",
            "address_2": "SUITE A",
            "city": "HALTOM CITY",
            "state": "TX",
            "postal_code": "761116246",
            "telephone_number": "817-831-7500",
            "fax_number": "817-831-7502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 N BEACH ST",
            "address_2": "SUITE A",
            "city": "HALTOM CITY",
            "state": "TX",
            "postal_code": "761116246",
            "telephone_number": "817-831-7500",
            "fax_number": "817-831-7502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAVANG HEALTHCARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2007-07-25",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "CHUONG",
        "authorized_official_middle_name": "VAN",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "817-831-7500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "TX",
            "license": "9847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Spinal Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca Kinzie, PTA
• Tracy Marie Kirk, D.D.S.
• Weldon Koech
• Shiv K Kohli, DDS
• Lafleur Dental Inc., P.C.
• Cheryl Lescovensky
• Ashley Nicole Levander, COTA
• Ruth Limo, PHARMD
• Robert Edward Loe, RPH
• Lone Star DME Supply LLC

• Rehabilitation Chiropractor in Haltom City, TX
• Providers in Haltom City, TX by specialty
• Rehabilitation Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.