Healthcare Provider Details

I. General information

NPI: 1083786164
Provider Name (Legal Business Name): CHRIS SANDERS D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/14/2006
Last Update Date: 08/31/2021
Certification Date: 08/31/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6300 WEST LOOP SOUTH #560
BELLAIRE TX
77401-2900
US

IV. Provider business mailing address

5177 RICHMOND AVE STE 110
HOUSTON TX
77056-6764
US

V. Phone/Fax

Practice location:
  • Phone: 713-572-4100
  • Fax: 713-665-2299
Mailing address:
  • Phone: 713-572-4100
  • Fax: 713-665-2299

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number8477
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: