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NPI Code Detail

MEDICARE: ALLIED CHIROPRACTIC & WELLNESS CLINIC LLC

MEDICARE: ALLIED CHIROPRACTIC & WELLNESS CLINIC LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor
2111NR0400XRehabilitation Chiropractor

General Provider Information

NPI Number : 1679106777
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALLIED CHIROPRACTIC & WELLNESS CLINIC LLC
Provider Business Mailing Address
First Line : 9100 SOUTHWEST FWY STE 100
Second Line :
City : HOUSTON
State : TX
Zip : 77074-1523
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9100 SOUTHWEST FWY STE 100
Second Line :
City : HOUSTON
State : TX
Zip : 77074-1523
Country : US
Telephone Number : 713-981-5825
Fax Number :
Authorized Official
Title or Position : DIRECTOR OF OPERATIONS
Name : OBINNA AZUIKE
Credential :
Telephone Number : 713-981-9505
Provider Enumeration Date : 02/17/2020
Last Update Date : 02/17/2020

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Directions to “ALLIED CHIROPRACTIC & WELLNESS CLINIC LLC ” Practice Location

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