Healthcare Provider Details

I. General information

NPI: 1659236321
Provider Name (Legal Business Name): CORE CHIROPRACTIC MEMORIAL CITY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10497 TOWN AND COUNTRY WAY STE 100
HOUSTON TX
77024-1134
US

IV. Provider business mailing address

1770 SAINT JAMES PL STE 210
HOUSTON TX
77056-3432
US

V. Phone/Fax

Practice location:
  • Phone: 713-623-3300
  • Fax: 281-476-6134
Mailing address:
  • Phone: 713-622-3300
  • Fax: 281-476-6134

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: NATALIE ANN CORDOVA
Title or Position: OWNER
Credential: DC
Phone: 713-622-3300