Provider Demographics
NPI:1326658691
Name:BETTER LIFE MEDICAL
Entity Type:Organization
Organization Name:BETTER LIFE MEDICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JAHCORRIAN
Authorized Official - Middle Name:S
Authorized Official - Last Name:BURKES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-647-8891
Mailing Address - Street 1:16316 FM 529 RD STE B
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-1465
Mailing Address - Country:US
Mailing Address - Phone:832-647-8891
Mailing Address - Fax:
Practice Address - Street 1:16316 FM 529 RD STE B
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-1465
Practice Address - Country:US
Practice Address - Phone:832-647-8891
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BETTER LIFE MANAGEMENT LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-08-03
Last Update Date:2020-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8326478891Medicaid