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General NPI Number Information
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NPI Number | 1295881340
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Entity Type | Organization
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Legal Business Name | BRUCE CHIROPRACTIC & REHAB CTR
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 11/08/2013
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Provider Practice Location Address
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Address Line | 2900 BROADWAY
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City | HOUSTON
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State | TX
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Zip | 77017
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Country | US
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Telephone | 713-643-7011
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Fax | 713-643-3831
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Provider Business Mailing Address
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Address Line | 2900 BROADWAY
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City | HOUSTON
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State | TX
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Zip | 77017
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Country | US
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Telephone | 713-643-7011
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Fax | 713-643-3831
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Authorized Official
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Title or Position | OWNER
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Name | MS. KATALINA BRUCE
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Credential |
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Telephone | 713-643-7011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State | TX
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