Provider Demographics
NPI:1144576679
Name:ABSOLUTE CHIROPRACTIC
Entity Type:Organization
Organization Name:ABSOLUTE CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:SUE
Authorized Official - Middle Name:
Authorized Official - Last Name:NO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:713-256-2903
Mailing Address - Street 1:6065 HILLCROFT ST
Mailing Address - Street 2:SUITE 605
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081-1087
Mailing Address - Country:US
Mailing Address - Phone:832-581-3867
Mailing Address - Fax:832-649-8438
Practice Address - Street 1:6065 HILLCROFT ST
Practice Address - Street 2:SUITE 605
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-1087
Practice Address - Country:US
Practice Address - Phone:832-581-3867
Practice Address - Fax:832-649-8438
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-02
Last Update Date:2012-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12054111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty