Healthcare Provider Details

I. General information

NPI: 1245317452
Provider Name (Legal Business Name): PASADENA CLINICS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 01/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1702 STRAWBERRY RD SUITE 204
PASADENA TX
77502-2618
US

IV. Provider business mailing address

1702 STRAWBERRY RD SUITE 204
PASADENA TX
77502-2618
US

V. Phone/Fax

Practice location:
  • Phone: 713-473-4325
  • Fax:
Mailing address:
  • Phone: 713-473-4325
  • Fax: 281-271-4662

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2852
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code111NI0900X
TaxonomyInternist Chiropractor
License Number2852
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number2852
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number2852
License Number StateTX
# 5
Primary TaxonomyN
Taxonomy Code111NX0100X
TaxonomyOccupational Health Chiropractor
License Number2852
License Number StateTX
# 6
Primary TaxonomyN
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License Number2852
License Number StateTX

VIII. Authorized Official

Name: DR. GLENN BRADY SAND
Title or Position: PRESIDENT
Credential: D.C.
Phone: 713-473-4325