Healthcare Provider Details

I. General information

NPI: 1740145069
Provider Name (Legal Business Name): OUTLIVE CHIROPRACTIC & WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

711 MILBY ST STE 66
HOUSTON TX
77023-1067
US

IV. Provider business mailing address

711 MILBY ST STE 66
HOUSTON TX
77023-1067
US

V. Phone/Fax

Practice location:
  • Phone: 713-714-7673
  • Fax:
Mailing address:
  • Phone: 713-714-7673
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KATELYNN D JONES
Title or Position: OWNER
Credential: DC
Phone: 281-932-0039