MEDICARE: CRAWFORD WELLNESS CENTER, INC

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
1	111N00000X	Chiropractor	8801	TX

General Provider Information

NPI Number	:	1467637975
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CRAWFORD WELLNESS CENTER, INC

Provider Business Mailing Address
First Line	:	2414 TANGLEY ST BLDG B
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77005-2514
Country	:	US
Telephone Number	:	713-503-9687
Fax Number	:	713-668-8039

Provider Business Practice Location Address
First Line	:	2414 TANGLEY ST BLDG B
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77005-2514
Country	:	US
Telephone Number	:	713-503-9687
Fax Number	:	713-668-8039

Authorized Official
Title or Position	:	OWNER
Name	:	DR. AMY CRAWFORD-FIALLOS
Credential	:	D.C.
Telephone Number	:	713-503-9687

Provider Enumeration Date	:	01/02/2008
Last Update Date	:	12/03/2025

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