Provider Demographics
NPI:1144400037
Name:C & G CHIRO INC
Entity Type:Organization
Organization Name:C & G CHIRO INC
Other - Org Name:GROSS CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:T
Authorized Official - Last Name:GROSS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:281-674-4467
Mailing Address - Street 1:4003 RUSTIC WOODS DR
Mailing Address - Street 2:SUITE D
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-2612
Mailing Address - Country:US
Mailing Address - Phone:281-674-4467
Mailing Address - Fax:
Practice Address - Street 1:4003 RUSTIC WOODS DR
Practice Address - Street 2:SUITE D
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-2612
Practice Address - Country:US
Practice Address - Phone:281-674-4467
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-07
Last Update Date:2012-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6033111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
80X641Medicare PIN