Provider Demographics
NPI:1083933683
Name:THAO-HOUANE, BRIAN (DC)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:
Last Name:THAO-HOUANE
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 1:1820 CALUMET ST APT 2
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-7226
Mailing Address - Country:US
Mailing Address - Phone:713-855-3385
Mailing Address - Fax:713-855-3385
Practice Address - Street 1:1820 CALUMET ST APT 2
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-7226
Practice Address - Country:US
Practice Address - Phone:713-855-3385
Practice Address - Fax:713-855-3385
Is Sole Proprietor?:No
Enumeration Date:2010-05-21
Last Update Date:2014-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11463111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor