Healthcare Provider Details

I. General information

NPI: 1942488192
Provider Name (Legal Business Name): HELTON CHIROPRACTIC CENTER PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2008
Last Update Date: 08/21/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9004 FOREST XING STE. C
THE WOODLANDS TX
77381-1197
US

IV. Provider business mailing address

9004 FOREST XING STE. C
THE WOODLANDS TX
77381-1197
US

V. Phone/Fax

Practice location:
  • Phone: 281-298-5053
  • Fax: 281-298-7867
Mailing address:
  • Phone: 281-298-5053
  • Fax: 281-298-7867

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number8447
License Number StateTX

VIII. Authorized Official

Name: DR. GLENN EDWARD HELTON
Title or Position: OWNER
Credential: D.C., C.C.S.P.
Phone: 281-298-5053