Provider Demographics
NPI:1144727181
Name:CHIROFX, LLC
Entity type:Organization
Organization Name:CHIROFX, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MINORS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:512-480-9999
Mailing Address - Street 1:PO BOX 163713
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78716-3713
Mailing Address - Country:US
Mailing Address - Phone:512-480-9999
Mailing Address - Fax:
Practice Address - Street 1:4532 W GATE BLVD STE 200
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-1410
Practice Address - Country:US
Practice Address - Phone:512-480-9999
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-06
Last Update Date:2018-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7035111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty