MEDICARE: CHIROPRACTIC ASSOCIATES OF HOUSTON

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
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1740381706
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHIROPRACTIC ASSOCIATES OF HOUSTON

Provider Business Mailing Address
First Line	:	PO BOX 27803
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77227-7803
Country	:	US
Telephone Number	:	713-626-2334
Fax Number	:

Provider Business Practice Location Address
First Line	:	3000 WESLAYAN ST
Second Line	:	STE. 150
City	:	HOUSTON
State	:	TX
Zip	:	77027-5700
Country	:	US
Telephone Number	:	713-626-2334
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	BRYAN HASSE
Credential	:
Telephone Number	:	713-626-2334

Provider Enumeration Date	:	09/25/2006
Last Update Date	:	08/22/2020

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