Healthcare Provider Details

I. General information

NPI: 1639219785
Provider Name (Legal Business Name): KENNETH D EFIRD D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4120 SOUTHWEST FWY SUITE 230
HOUSTON TX
77027-7339
US

IV. Provider business mailing address

4120 SOUTHWEST FWY SUITE 230
HOUSTON TX
77027-7339
US

V. Phone/Fax

Practice location:
  • Phone: 713-355-1500
  • Fax: 713-960-0263
Mailing address:
  • Phone: 713-355-1500
  • Fax: 713-960-0263

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NN0400X
TaxonomyNeurology Chiropractor
License Number9958
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code111NR0200X
TaxonomyRadiology Chiropractor
License Number9958
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number9958
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number9958
License Number StateTX
# 5
Primary TaxonomyN
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License Number9958
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: