Provider Demographics
NPI:1003250648
Name:DR.LI CHIROPRACTIC CARE PLLC
Entity Type:Organization
Organization Name:DR.LI CHIROPRACTIC CARE PLLC
Other - Org Name:BELLAIRE PAIN MANAGEMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:NAN
Authorized Official - Last Name:LI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:832-818-2630
Mailing Address - Street 1:9180 BELLAIRE BLVD STE D
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-4600
Mailing Address - Country:US
Mailing Address - Phone:832-818-2630
Mailing Address - Fax:713-534-1136
Practice Address - Street 1:9180 BELLAIRE BLVD STE D
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-4600
Practice Address - Country:US
Practice Address - Phone:832-818-2630
Practice Address - Fax:713-534-1136
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-25
Last Update Date:2013-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12104111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty