Provider Demographics
NPI:1083773501
Name:FLOYD, RONALD HARRELL (DC)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:HARRELL
Last Name:FLOYD
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2041
Mailing Address - Street 2:
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77549-2041
Mailing Address - Country:US
Mailing Address - Phone:281-224-0492
Mailing Address - Fax:
Practice Address - Street 1:108 W PASADENA BLVD
Practice Address - Street 2:
Practice Address - City:DEER PARK
Practice Address - State:TX
Practice Address - Zip Code:77536-4870
Practice Address - Country:US
Practice Address - Phone:281-476-0700
Practice Address - Fax:281-479-0473
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2021-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2644111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4132297OtherAETNA PROVIDER NUMBER
TX2845087OtherCIGNA PROVIDER NUMBER
TX609199Medicare ID - Type UnspecifiedMEDICARE NUMBER
TX4132297OtherAETNA PROVIDER NUMBER