Provider Demographics
NPI:1275182933
Name:NECK & BACK PAIN TREATMENT CENTER PLLC
Entity Type:Organization
Organization Name:NECK & BACK PAIN TREATMENT CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:BROWNE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:281-772-3976
Mailing Address - Street 1:921 FM 517 RD E
Mailing Address - Street 2:
Mailing Address - City:DICKINSON
Mailing Address - State:TX
Mailing Address - Zip Code:77539-8642
Mailing Address - Country:US
Mailing Address - Phone:281-534-4987
Mailing Address - Fax:281-337-3118
Practice Address - Street 1:921 FM 517 RD E
Practice Address - Street 2:
Practice Address - City:DICKINSON
Practice Address - State:TX
Practice Address - Zip Code:77539-8642
Practice Address - Country:US
Practice Address - Phone:281-534-4987
Practice Address - Fax:281-337-3118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-05
Last Update Date:2019-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty