Provider Demographics
NPI:1487179891
Name:A&C CHIRO LLC
Entity type:Organization
Organization Name:A&C CHIRO LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:F
Authorized Official - Last Name:CORNISH
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:817-988-6168
Mailing Address - Street 1:4510 MEDICAL CENTER DR STE 300
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75069-1603
Mailing Address - Country:US
Mailing Address - Phone:469-640-3500
Mailing Address - Fax:469-640-3503
Practice Address - Street 1:4510 MEDICAL CENTER DR STE 300
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-1603
Practice Address - Country:US
Practice Address - Phone:817-988-6168
Practice Address - Fax:816-795-5305
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-07
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13401111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty