Provider Demographics
NPI:1407055791
Name:DAVID J MASSEY
Entity Type:Organization
Organization Name:DAVID J MASSEY
Other - Org Name:KINGWOOD SPINE AND WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:J
Authorized Official - Last Name:MASSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-480-2518
Mailing Address - Street 1:9805 MEREDITH ELISE CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77025-4340
Mailing Address - Country:US
Mailing Address - Phone:713-480-2518
Mailing Address - Fax:281-358-3047
Practice Address - Street 1:530 KINGWOOD DR
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-4473
Practice Address - Country:US
Practice Address - Phone:281-358-0813
Practice Address - Fax:281-358-3047
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-16
Last Update Date:2011-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10297111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty