Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 10470 | TX |
NPI | 1003050956 |
---|---|
Provider Name | Chadwick M Thornton |
First Address | Crosby, TX 77532-5685 |
Second Address | Crosby, TX 77532-5685 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/04/2009 |
Last Update Date | 21/11/2019 |