Provider Demographics
NPI: | 1679985022 |
---|---|
Name: | T USELTON INC |
Entity type: | Organization |
Organization Name: | T USELTON INC |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | DR |
Authorized Official - First Name: | TIMOTHY |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | USELTON |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | DC |
Authorized Official - Phone: | 972-478-5538 |
Mailing Address - Street 1: | 3008 E HEBRON PKWY |
Mailing Address - Street 2: | BLDG 500 |
Mailing Address - City: | CARROLLTON |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 75010-4469 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 972-478-5538 |
Mailing Address - Fax: | 972-820-7177 |
Practice Address - Street 1: | 3008 E HEBRON PKWY |
Practice Address - Street 2: | BLDG 500 |
Practice Address - City: | CARROLLTON |
Practice Address - State: | TX |
Practice Address - Zip Code: | 75010-4469 |
Practice Address - Country: | US |
Practice Address - Phone: | 972-478-5538 |
Practice Address - Fax: | 972-820-7177 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2014-05-20 |
Last Update Date: | 2014-05-20 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
TX | 7350 | 111N00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 111N00000X | Chiropractic Providers | Chiropractor | Group - Single Specialty |