Healthcare Provider Details
I. General information
NPI: 1265464671
Provider Name (Legal Business Name): ZACHARY DOUGLASS MCVEY D.C., MUAC, CSCS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/07/2006
Last Update Date: 11/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
711 W BAY AREA BLVD SUITE 620
WEBSTER TX
77598-4043
US
IV. Provider business mailing address
711 W. BAY AREA BOULEVARD SUITE 620
WEBSTER TX
77598
US
V. Phone/Fax
- Phone: 281-557-7200
- Fax: 281-557-7225
- Phone: 281-557-7200
- Fax: 281-557-7225
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | 9810 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: