Provider Demographics
NPI:1043336464
Name:2310 L.L.C.
Entity Type:Organization
Organization Name:2310 L.L.C.
Other - Org Name:COMPLETE HEALTH & REHABILITATION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:OISTAD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:281-440-8899
Mailing Address - Street 1:2310 FM 1960 RD W
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77068-3702
Mailing Address - Country:US
Mailing Address - Phone:281-444-9214
Mailing Address - Fax:
Practice Address - Street 1:2310 FM 1960 RD W
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77068-3702
Practice Address - Country:US
Practice Address - Phone:281-444-9214
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7174111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1144305525OtherNPI
TX1174608558OtherNPI