Provider Demographics
NPI:1235334434
Name:CHIRO-MED CLINIC
Entity Type:Organization
Organization Name:CHIRO-MED CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TON
Authorized Official - Middle Name:THANH
Authorized Official - Last Name:HA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:713-777-7888
Mailing Address - Street 1:9798 BELLAIRE BLVD STE K
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-3428
Mailing Address - Country:US
Mailing Address - Phone:713-777-7888
Mailing Address - Fax:713-777-7855
Practice Address - Street 1:9798 BELLAIRE BLVD STE K
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-3428
Practice Address - Country:US
Practice Address - Phone:713-777-7888
Practice Address - Fax:713-777-7855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-18
Last Update Date:2007-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8295111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty