Provider Demographics
NPI:1386019453
Name:KEAN CHIROPRACTIC P.C
Entity Type:Organization
Organization Name:KEAN CHIROPRACTIC P.C
Other - Org Name:MODERN SPINE INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SAYYAD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:713-993-6963
Mailing Address - Street 1:10190 KATY FWY
Mailing Address - Street 2:SUITE#130
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77043-5236
Mailing Address - Country:US
Mailing Address - Phone:713-993-6963
Mailing Address - Fax:844-270-6797
Practice Address - Street 1:10190 KATY FWY
Practice Address - Street 2:SUITE#130
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77043-5236
Practice Address - Country:US
Practice Address - Phone:713-993-6963
Practice Address - Fax:844-270-6797
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-01
Last Update Date:2015-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9990111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1750438503OtherINDIVIDUAL NPI NUMBER