Healthcare Provider Details

I. General information

NPI: 1801481486
Provider Name (Legal Business Name): SANDSTONE CHIROPRACTIC GOSLING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2021
Last Update Date: 03/04/2021
Certification Date: 03/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24527 GOSLING RD # D-110
SPRING TX
77389-3214
US

IV. Provider business mailing address

1803 W WHITE OAK TER STE A
CONROE TX
77304-3675
US

V. Phone/Fax

Practice location:
  • Phone: 281-203-0070
  • Fax:
Mailing address:
  • Phone: 281-203-0070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. TONY W DERAMUS
Title or Position: PRESIDENT
Credential: DC
Phone: 713-825-8670