Provider Demographics
NPI:1245619410
Name:CC HEALTHCARE INC.
Entity Type:Organization
Organization Name:CC HEALTHCARE INC.
Other - Org Name:CLARK COUNTY CHIROPRACTIC CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:PERES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:713-725-4249
Mailing Address - Street 1:505 W FAIRMONT PKWY
Mailing Address - Street 2:STE C
Mailing Address - City:LA PORTE
Mailing Address - State:TX
Mailing Address - Zip Code:77571-6312
Mailing Address - Country:US
Mailing Address - Phone:713-725-4249
Mailing Address - Fax:281-471-4419
Practice Address - Street 1:1321 S RAINBOW BLVD
Practice Address - Street 2:#101
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-9066
Practice Address - Country:US
Practice Address - Phone:713-725-4249
Practice Address - Fax:281-471-4419
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-21
Last Update Date:2015-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10309111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty