Healthcare Provider Details

I. General information

NPI: 1659513737
Provider Name (Legal Business Name): TNT CHIROPRACTIC CLINIC, L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2009
Last Update Date: 04/03/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15000 BELLAIRE BLVD # G
HOUSTON TX
77083-2536
US

IV. Provider business mailing address

15000 BELLAIRE BLVD # G
HOUSTON TX
77083-2536
US

V. Phone/Fax

Practice location:
  • Phone: 281-495-8788
  • Fax:
Mailing address:
  • Phone: 281-495-8788
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number9470
License Number StateTX

VIII. Authorized Official

Name: TUAN NGUYEN
Title or Position: OWNER
Credential: D.C.
Phone: 281-495-8788