Healthcare Provider Details

I. General information

NPI: 1598939399
Provider Name (Legal Business Name): AMERICAN BALANCE CONTROL DIAGNOSTICS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2008
Last Update Date: 04/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9803 SPRING CYPRESS RD SUITE 600-291
HOUSTON TX
77070-6429
US

IV. Provider business mailing address

9803 SPRING CYPRESS RD SUITE 600-291
HOUSTON TX
77070-6429
US

V. Phone/Fax

Practice location:
  • Phone: 832-368-5833
  • Fax:
Mailing address:
  • Phone: 832-368-5833
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberJ1256
License Number StateTX

VIII. Authorized Official

Name: DR. MICHAEL HILTON
Title or Position: OWNER
Credential: DC
Phone: 832-368-5833