Provider Demographics
NPI:1093972721
Name:PACIFIC HEALTH CLINIC, P.C.
Entity Type:Organization
Organization Name:PACIFIC HEALTH CLINIC, P.C.
Other - Org Name:PACIFIC HEALTH CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:MANDY
Authorized Official - Middle Name:Q
Authorized Official - Last Name:NGO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:713-944-6300
Mailing Address - Street 1:8866 GULF FWY
Mailing Address - Street 2:SUTIE 301
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77017-6514
Mailing Address - Country:US
Mailing Address - Phone:713-944-6300
Mailing Address - Fax:
Practice Address - Street 1:8866 GULF FWY
Practice Address - Street 2:SUTIE 301
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77017-6514
Practice Address - Country:US
Practice Address - Phone:713-944-6300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PACIFIC HEALTH CLINIC, P.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-05-20
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty