Provider Demographics
NPI:1174689566
Name:ECHOFF, JUNE (DC)
Entity Type:Individual
Prefix:DR
First Name:JUNE
Middle Name:
Last Name:ECHOFF
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 1:1210 NASA ROAD 1
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77058-3304
Mailing Address - Country:US
Mailing Address - Phone:281-333-1377
Mailing Address - Fax:281-333-0442
Practice Address - Street 1:1210 NASA ROAD 1
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77058-3304
Practice Address - Country:US
Practice Address - Phone:281-333-1377
Practice Address - Fax:281-333-0442
Is Sole Proprietor?:No
Enumeration Date:2006-12-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2877111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXT13122Medicare ID - Type Unspecified