Provider Demographics
NPI:1215205497
Name:BELLA PERKINS NOBLES
Entity Type:Organization
Organization Name:BELLA PERKINS NOBLES
Other - Org Name:BACK ON TRACK PHYSICAL MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BELLA
Authorized Official - Middle Name:PERKINS
Authorized Official - Last Name:NOBLES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:713-977-0451
Mailing Address - Street 1:PO BOX 2660
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77410-2660
Mailing Address - Country:US
Mailing Address - Phone:713-977-0451
Mailing Address - Fax:281-547-8857
Practice Address - Street 1:7211 REGENCY SQUARE BLVD STE 211
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036
Practice Address - Country:US
Practice Address - Phone:713-977-0451
Practice Address - Fax:281-547-8857
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-02
Last Update Date:2018-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF007485111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty