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NPI 1437439205

NPI 1437439205 : TEXAS CHIROPRACTIC HEALTH & WELLNESS : KATY, TX

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General NPI Number Information
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    NPI Number           |    1437439205
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    Entity Type          |    Organization 
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    Legal Business Name  |    TEXAS CHIROPRACTIC HEALTH & WELLNESS 
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Dates
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    Enumeration Date     |    08/24/2011
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    Last Update Date     |    01/11/2012
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Provider Practice Location Address
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    Address Line         |    1800 SNAKE RIVER RD SUITE A
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    City                 |    KATY
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    State                |    TX
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    Zip                  |    77449-7742
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    Country              |    US
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    Telephone            |    281-829-6700
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1800 SNAKE RIVER ROAD SUITE A
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    City                 |    KATY
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    State                |    TX
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    Zip                  |    77449
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    Country              |    US
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    Telephone            |    281-829-6700
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    Fax                  |    281-829-6709
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Authorized Official
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    Title or Position    |    OWNER/PRESIDENT/DOCTOR
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    Name                 |    MR. CHARLES J PARRA 
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    Credential           |    D.C.
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    Telephone            |    281-829-6700
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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       |    11197
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    License Number State |    TX
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