Healthcare Provider Details

I. General information

NPI: 1104040377
Provider Name (Legal Business Name): BALANCED BODIES CHIROPRACTIC AND KINESIOLOGY PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2007
Last Update Date: 02/10/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8811 WESTHEIMER RD STE 101
HOUSTON TX
77063-3626
US

IV. Provider business mailing address

8811 WESTHEIMER RD STE 101
HOUSTON TX
77063-3626
US

V. Phone/Fax

Practice location:
  • Phone: 713-977-0005
  • Fax: 713-977-2131
Mailing address:
  • Phone: 713-977-0005
  • Fax: 713-977-2131

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number6174
License Number StateTX

VIII. Authorized Official

Name: DR. THOMAS E REEVES
Title or Position: OWNER
Credential: DC
Phone: 713-977-0005