Healthcare Provider Details
I. General information
NPI: 1831372358
Provider Name (Legal Business Name): PRICE CHIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/06/2007
Last Update Date: 12/06/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1900 SAINT JAMES PL # A
HOUSTON TX
77056-4129
US
IV. Provider business mailing address
1900 SAINT JAMES PL # A
HOUSTON TX
77056-4129
US
V. Phone/Fax
- Phone: 713-877-8600
- Fax: 713-599-1773
- Phone: 713-877-8600
- Fax: 713-599-1773
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 111NN1001X |
| Taxonomy | Nutrition Chiropractor |
| License Number | 7324 |
| License Number State | TX |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111NR0400X |
| Taxonomy | Rehabilitation Chiropractor |
| License Number | 7324 |
| License Number State | TX |
VIII. Authorized Official
Name: DR.
PATRICK
GEORGE
PRICE
Title or Position: OWNER
Credential:
Phone: 713-877-8600