Provider Demographics
NPI:1730435678
Name:DONALD J. AMMON, JR
Entity type:Organization
Organization Name:DONALD J. AMMON, JR
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:J
Authorized Official - Last Name:AMMON
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:956-578-1348
Mailing Address - Street 1:715 ELIZABETH MOYA ST
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78542-0318
Mailing Address - Country:US
Mailing Address - Phone:956-578-1348
Mailing Address - Fax:
Practice Address - Street 1:715 ELIZABETH MOYA ST
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78542-0318
Practice Address - Country:US
Practice Address - Phone:956-578-1348
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-30
Last Update Date:2012-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9924111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8D1021Medicare PIN