Provider Demographics
NPI:1053514786
Name:BUROW CHRIOPRACTIC CLINIC LLC
Entity type:Organization
Organization Name:BUROW CHRIOPRACTIC CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:BUROW
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:512-352-5584
Mailing Address - Street 1:612 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:TAYLOR
Mailing Address - State:TX
Mailing Address - Zip Code:76574-3647
Mailing Address - Country:US
Mailing Address - Phone:512-352-5584
Mailing Address - Fax:512-365-3113
Practice Address - Street 1:612 N MAIN ST
Practice Address - Street 2:
Practice Address - City:TAYLOR
Practice Address - State:TX
Practice Address - Zip Code:76574-3647
Practice Address - Country:US
Practice Address - Phone:512-352-5584
Practice Address - Fax:512-365-3113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-08
Last Update Date:2020-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5377111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX95806Medicare UPIN
TX603211Medicare ID - Type UnspecifiedMEDICARE ID