Healthcare Provider Details

I. General information

NPI: 1922818491
Provider Name (Legal Business Name): MVMT CHIROPRACTIC MEMORIAL, 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

7650 SAN FELIPE ST
HOUSTON TX
77063-1703
US

IV. Provider business mailing address

7650 SAN FELIPE ST
HOUSTON TX
77063-1703
US

V. Phone/Fax

Practice location:
  • Phone: 832-391-8077
  • Fax:
Mailing address:
  • Phone: 832-391-8077
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. MICHAEL TEAGLE
Title or Position: PROVIDER
Credential:
Phone: 832-391-8077