Provider Demographics
NPI:1235410838
Name:PRD CHIRO LLC
Entity Type:Organization
Organization Name:PRD CHIRO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:D
Authorized Official - Last Name:PARSONS
Authorized Official - Suffix:II
Authorized Official - Credentials:DC
Authorized Official - Phone:281-485-2955
Mailing Address - Street 1:2018 BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77581-5502
Mailing Address - Country:US
Mailing Address - Phone:281-485-2955
Mailing Address - Fax:281-485-8315
Practice Address - Street 1:2802 BUSINESS CENTER DR
Practice Address - Street 2:SUITE 102
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-2187
Practice Address - Country:US
Practice Address - Phone:281-506-8944
Practice Address - Fax:281-485-8315
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PC INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-09-09
Last Update Date:2011-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7178111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty