MEDICARE: MVMT CHIROPRACTIC RIVER OAKS, PLLC

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

General Provider Information

NPI Number	:	1659181121
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MVMT CHIROPRACTIC RIVER OAKS, PLLC

Provider Business Mailing Address
First Line	:	1414 W CLAY ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77019-4912
Country	:	US
Telephone Number	:	832-391-8077
Fax Number	:

Provider Business Practice Location Address
First Line	:	1414 W CLAY ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77019-4912
Country	:	US
Telephone Number	:	832-391-8077
Fax Number	:

Authorized Official
Title or Position	:	PROVIDER
Name	:	DR. JAKE PRICE
Credential	:
Telephone Number	:	832-391-8077

Provider Enumeration Date	:	01/08/2025
Last Update Date	:	01/08/2025

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