MEDICARE: CHIROPRACTIC MADE SIMPLE 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
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1740165992
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHIROPRACTIC MADE SIMPLE LLC

Provider Business Mailing Address
First Line	:	3518 NAPLES POINT LN
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-4977
Country	:	US
Telephone Number	:	281-509-2031
Fax Number	:

Provider Business Practice Location Address
First Line	:	3634 GLENN LAKES LN STE 271
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-4185
Country	:	US
Telephone Number	:	281-509-2031
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. CHRISSA MONA THOMAS-SALCIDO
Credential	:	DC
Telephone Number	:	281-509-2031

Provider Enumeration Date	:	08/07/2025
Last Update Date	:	08/07/2025

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