GLAZE CHIROPRACTIC CLINIC
NPI 1215934682
Chiropractor in Gilmer, TX

Active since June 30, 2005
1026 TITUS ST, GILMER, TX 75644(903) 843-5643(903) 843-4403 Get Directions Write a Review

NPPES record last updated: April 9, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Glaze Chiropractic Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLAZE CHIROPRACTIC CLINIC (NPI 1215934682) is a healthcare organization registered as a chiropractor in Gilmer, Texas and active in the NPI registry since June 2005. The organization lists Randal L Mcdaniel, Owner, as its authorized official.

NPPES Registry Identity

NPI1215934682
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameGLAZE CHIROPRACTIC CLINIC
Location Address1026 TITUS STGilmer, TX 75644-3514
Mailing AddressPo Box 949Gilmer, TX 75644-0949 · (903) 843-5643 · Fax (903) 843-4403
Fax(903) 843-4403
Organization SubpartNo
Authorized OfficialRandal L McdanielOwner · (903) 843-5643
Enumeration DateJune 30, 2005
Last NPPES UpdateApril 9, 2012
NPI 1215934682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in TX · 0017CC
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
1026 TITUS ST, Gilmer, TX 75644

Other Identifiers 1

Medicare ID-Type Unspecified0017CC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor (Sports Physician)
1026 TITUS ST
GILMER, TX 75644
Chiropractor
1026 TITUS ST
GILMER, TX 75644

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glaze Chiropractic Clinic's NPI number?

The NPI number for Glaze Chiropractic Clinic is 1215934682. It was assigned to this organization in the NPPES registry on June 30, 2005.

Where is Glaze Chiropractic Clinic located?

Glaze Chiropractic Clinic is located at 1026 Titus St, Gilmer, TX 75644. The listed phone number is (903) 843-5643.

What is Glaze Chiropractic Clinic's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Glaze Chiropractic Clinic was last updated on April 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.