Provider Demographics
NPI:1003250135
Name:LWCHEALTH,LLC
Entity Type:Organization
Organization Name:LWCHEALTH,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:DUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HENDERSON D.C.
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:281-516-1138
Mailing Address - Street 1:24911 KUYKENDAHL RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375-3295
Mailing Address - Country:US
Mailing Address - Phone:281-516-1138
Mailing Address - Fax:218-516-1183
Practice Address - Street 1:24911 KUYKENDAHL RD
Practice Address - Street 2:SUITE B
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-3295
Practice Address - Country:US
Practice Address - Phone:281-516-1138
Practice Address - Fax:218-516-1183
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-19
Last Update Date:2013-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10781111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty