Healthcare Provider Details
I. General information
NPI: 1659181121
Provider Name (Legal Business Name): MVMT CHIROPRACTIC RIVER OAKS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/08/2025
Last Update Date: 01/08/2025
Certification Date: 01/08/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1414 W CLAY ST
HOUSTON TX
77019-4912
US
IV. Provider business mailing address
1414 W CLAY ST
HOUSTON TX
77019-4912
US
V. Phone/Fax
- Phone: 832-391-8077
- Fax:
- Phone: 832-391-8077
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JAKE
PRICE
Title or Position: PROVIDER
Credential:
Phone: 832-391-8077