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NPI Code Detail

MEDICARE: BRIDGELAND CHIROPRACTIC LLC

MEDICARE: BRIDGELAND CHIROPRACTIC LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor

General Provider Information

NPI Number : 1174036271
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRIDGELAND CHIROPRACTIC LLC
Provider Business Mailing Address
First Line : 4545 POST OAK PLACE DR STE 120
Second Line :
City : HOUSTON
State : TX
Zip : 77027-3181
Country : US
Telephone Number : 713-622-5600
Fax Number : 713-622-5608
Provider Business Practice Location Address
First Line : 4543 POST OAK PLACE DR STE 124
Second Line :
City : HOUSTON
State : TX
Zip : 77027-3103
Country : US
Telephone Number : 713-775-4286
Fax Number : 713-622-5608
Authorized Official
Title or Position : PROVIDER/PRESIDENT
Name : MAZEN ZAIBAK
Credential : D.C.
Telephone Number : 713-775-4286
Provider Enumeration Date : 11/10/2017
Last Update Date : 07/05/2024

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Directions to “BRIDGELAND CHIROPRACTIC LLC ” Practice Location

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