Provider Demographics
NPI:1275994204
Name:WHITFIELD, PAIGE M (DC)
Entity Type:Individual
Prefix:
First Name:PAIGE
Middle Name:M
Last Name:WHITFIELD
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9410 CYPRESS CREEK PKWY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-6211
Mailing Address - Country:US
Mailing Address - Phone:832-326-8340
Mailing Address - Fax:
Practice Address - Street 1:4851 FAIR OAK DALE LN
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77346-1866
Practice Address - Country:US
Practice Address - Phone:832-326-8340
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-18
Last Update Date:2016-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13147111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor