Provider Demographics
NPI:1154451359
Name:ALARCON, REINA ISABEL (DC)
Entity Type:Individual
Prefix:DR
First Name:REINA
Middle Name:ISABEL
Last Name:ALARCON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8121 BROADWAY ST STE 150
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77061-1342
Mailing Address - Country:US
Mailing Address - Phone:713-649-1142
Mailing Address - Fax:713-649-2080
Practice Address - Street 1:8121 BROADWAY ST STE 150
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77061-1342
Practice Address - Country:US
Practice Address - Phone:713-649-1142
Practice Address - Fax:713-649-2080
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9588111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor