Organization
FOUR-TEN ENTERPRISE, LLC
Active
Other names
Helping Hands Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY BRIAN SULLIVAN DC (OWNER)
(903) 597-9021
Entity
Organization
Contact information
Practice address
1540 RICE RD STE 400, TYLER, TX 75703-3223
(903) 597-9021
(903) 597-0840
Mailing address
1540 RICE RD STE 400, TYLER, TX 75703-3223
(903) 597-9021
(903) 597-0840
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
12808
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
583248
MEDICARE
TX
Enumeration date
06/22/2017
Last updated
01/17/2023
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