Provider Demographics
NPI:1043332547
Name:MANEEN, SALVATORE PETER JR (DC)
Entity Type:Individual
Prefix:DR
First Name:SALVATORE
Middle Name:PETER
Last Name:MANEEN
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:12288 WESTHEIMER RD
Mailing Address - Street 2:SUITE 310
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-6054
Mailing Address - Country:US
Mailing Address - Phone:281-497-3472
Mailing Address - Fax:281-497-3828
Practice Address - Street 1:12288 WESTHEIMER RD
Practice Address - Street 2:SUITE 310
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-6054
Practice Address - Country:US
Practice Address - Phone:281-497-3472
Practice Address - Fax:281-497-3828
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX2953111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX601196OtherBLUE CROSS BLUE SHEILD
TX760049173OtherTAX ID
TXTI4573Medicare UPIN
TX760049173OtherTAX ID